Some patients with leprosy may present with atypical features, such as isolated peripheral neuropathy without skin lesions, or marked proprioceptive dysfunction. We report a 56-year-old female who presented with predominant proprioceptive loss without skin lesion, but was finally confirmed as leprous neuropathy by sural nerve biopsy. It is postulated that large myelinated fibers were affected by chronic immunological reactions triggered by inactive bacterial particles, producing a peripheral neuropathy presenting as predominant proprioceptive sensory loss without typical skin lesions.
BT - Korean Journal of Clinical Neurophysiology DO - 10.14253/kjcn.2013.15.1.19 IS - 1 LA - kor N2 -Some patients with leprosy may present with atypical features, such as isolated peripheral neuropathy without skin lesions, or marked proprioceptive dysfunction. We report a 56-year-old female who presented with predominant proprioceptive loss without skin lesion, but was finally confirmed as leprous neuropathy by sural nerve biopsy. It is postulated that large myelinated fibers were affected by chronic immunological reactions triggered by inactive bacterial particles, producing a peripheral neuropathy presenting as predominant proprioceptive sensory loss without typical skin lesions.
PY - 2013 EP - 19 ST - Korean J Clin Neurophysiol T2 - Korean Journal of Clinical Neurophysiology TI - Leprous Neuropathy Associated with Predominant Proprioceptive Sensory Loss UR - http://dx.doi.org/10.14253/kjcn.2013.15.1.19 VL - 15 SN - 1229-6414 ER -