Leprosy is a disease that potentially affects adults with a long latency period of 3 to 5 years. However,
children are prone to acquire the disease especially in places of high prevalence and poor epidemiologic
control. The surgical decompression is an ancillary method of treatment, although recent investigations
call attention for the similarity of results of conservative management. The objective of this study, then,
was to call attention for surgical indication in leprosy patients with ulnar impairment soon after failure
of conservative management. The authors describe and analyze a case of an outpatient operated child
with ulnar nerve involvement by leprosy after 1 year of clinical treatment and failure. The predominant
symptoms were pain and physical deformity. There was a great improvement following the surgery even
after delayed operation. The surgical intervention is sometimes necessary to avoid deformities although
more randomized series must confi rm the superiority of surgery in relation to clinical management in
some cases.
BT - Brazilian Journal of Medicine and Human Health DO - 10.17267/2317-3386bjmhh.v4i310.17267/2317-3386bjmhh.v4i3.1012 IS - 3 J2 - BJMHH LA - eng N2 -Leprosy is a disease that potentially affects adults with a long latency period of 3 to 5 years. However,
children are prone to acquire the disease especially in places of high prevalence and poor epidemiologic
control. The surgical decompression is an ancillary method of treatment, although recent investigations
call attention for the similarity of results of conservative management. The objective of this study, then,
was to call attention for surgical indication in leprosy patients with ulnar impairment soon after failure
of conservative management. The authors describe and analyze a case of an outpatient operated child
with ulnar nerve involvement by leprosy after 1 year of clinical treatment and failure. The predominant
symptoms were pain and physical deformity. There was a great improvement following the surgery even
after delayed operation. The surgical intervention is sometimes necessary to avoid deformities although
more randomized series must confi rm the superiority of surgery in relation to clinical management in
some cases.
PY - 2016 T2 - Brazilian Journal of Medicine and Human Health TI - Ulnar Nerve Decompression in Neural Form of Leprosy in Childhood UR - https://www5.bahiana.edu.br/index.php/medicine/article/view/1012 VL - 4 SN - 2317-3386 ER -