APIK Journal of Internal Medicine

CASE REPORT
Year
: 2019  |  Volume : 7  |  Issue : 3  |  Page : 84--86

An enigmatic case of pure neuritic leprosy with trophic ulcers


Mohd Zeeshan Ali, Sangram Biradar, S Sumangala 
 Department of General Medicine, M.R Medical College, Kalaburagi, Karnataka, India

Correspondence Address:
Dr. Mohd Zeeshan Ali
Department of Internal Medicine, M.R. Medical College, Kalaburagi, Karnataka
India

Leprosy is one of the most common diseases of peripheral nerves. In pure neuritic leprosy, skin along the distribution of the affected nerve is usually hypo-anesthetic or anesthetic, and as a rule, no classical leprosy skin lesions/patches should be present. However, depending on the severity of sensory and autonomic dysfunction, there could be a variable degree of hypo/anhidrosis, xerosis, fissuring, and ulcers along its distribution. Diagnosis of leprosy in the absence of typical dermatological features is difficult and requires histopathological confirmation using nerve biopsy. We report a case of leprosy with peripheral neuropathy without skin lesions. Nerve biopsy showed chronic inflammatory cell infiltration, epithelioid-cell granulomas, and the presence of Mycobacterium leprae on Modified Ziehl-Neelson stain. Hence, in leprosy prevalent countries like India, this form of leprosy should be thoroughly investigated, especially in patient without skin changes and presenting with trophic ulcers. It was a diagnostic challenge requiring high degree of clinical suspicion and thorough investigations.


How to cite this article:
Ali MZ, Biradar S, Sumangala S. An enigmatic case of pure neuritic leprosy with trophic ulcers.APIK J Int Med 2019;7:84-86


How to cite this URL:
Ali MZ, Biradar S, Sumangala S. An enigmatic case of pure neuritic leprosy with trophic ulcers. APIK J Int Med [serial online] 2019 [cited 2021 Dec 8 ];7:84-86
Available from: https://www.ajim.in/article.asp?issn=2666-1802;year=2019;volume=7;issue=3;spage=84;epage=86;aulast=Ali;type=0