The Wide Range of Clinical Manifestations in Leprous Neuropathy: Two Case Reports

Access this Article

Search this Article

Author(s)

    • Koike Haruki
    • Department of Neurology, Nagoya University Graduate School of Medicine, Japan
    • Hashimoto Rina
    • Department of Neurology, Nagoya University Graduate School of Medicine, Japan
    • Tomita Minoru
    • Department of Neurology, Nagoya University Graduate School of Medicine, Japan
    • Iijima Masahiro
    • Department of Neurology, Nagoya University Graduate School of Medicine, Japan
    • Nagamatsu Masaaki
    • Department of Neurology, Nagoya University Graduate School of Medicine, Japan
    • Sobue Gen
    • Department of Neurology, Nagoya University Graduate School of Medicine, Japan

Abstract

The present report describes two patients with leprous neuropathy diagnosed in Japan and manifesting with different clinical features. A 78-year-old Japanese man presented with a 3-year history of numbness and weakness affecting the upper and lower extremities. Although he did not have skin eruptions, nerve biopsy revealed acid-fast bacilli. Another patient, a 41-year-old Japanese-Brazilian man, presented with a 1-month history of numbness in the right fourth and fifth fingers and whole-body erythema. These cases highlight the fact that, as a result of worldwide travel and immigration, leprosy should still be considered in the differential diagnosis of neuropathy in developed countries.<br>

Journal

  • Internal Medicine

    Internal Medicine 50(19), 2223-2226, 2011

    The Japanese Society of Internal Medicine

Codes

Page Top