Syringomyelia diagnosed with leprosy: A case report
Leprosy has high incidence in tropical and subtropical countries. We document a case of 26-year-old female with an 18-month history of insidious onset progressive weakness and wasting of small muscles of both hands with decreased sensation distal to elbows and trophic changes without thickened nerve...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Clinical Dermatology Review |
| Subjects: | |
| Online Access: | http://www.cdriadvlkn.org/article.asp?issn=2542-551X;year=2019;volume=3;issue=2;spage=136;epage=138;aulast=Sardana |
| _version_ | 1818607087940272128 |
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| author | Vijay Sardana Rahi Kiran Bhattiprolu |
| author_facet | Vijay Sardana Rahi Kiran Bhattiprolu |
| author_sort | Vijay Sardana |
| collection | DOAJ |
| description | Leprosy has high incidence in tropical and subtropical countries. We document a case of 26-year-old female with an 18-month history of insidious onset progressive weakness and wasting of small muscles of both hands with decreased sensation distal to elbows and trophic changes without thickened nerves. The patient was on anti-leprosy treatment for the past 1 year with no response to treatment. Examination revealed diminished reflexes in the upper limbs and preserved reflexes in the lower limbs. Skin biopsy was normal. Magnetic resonance imaging of the spine was suggestive of Arnold–Chiari malformation type I with large cervico-dorsal syrinx which was ultimately treated by the surgical management. We suggest that all cases of leprosy should include syringomyelia as a differential diagnosis so that unnecessary prolonged exposure to anti-leprosy drugs with potential side effects can be prevented. |
| first_indexed | 2024-12-16T14:21:11Z |
| format | Article |
| id | doaj.art-3b782119efe149c983bcb6d593942888 |
| institution | Directory Open Access Journal |
| issn | 2542-551X 2542-5528 |
| language | English |
| last_indexed | 2024-12-16T14:21:11Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Clinical Dermatology Review |
| spelling | doaj.art-3b782119efe149c983bcb6d5939428882022-12-21T22:28:29ZengWolters Kluwer Medknow PublicationsClinical Dermatology Review2542-551X2542-55282019-01-013213613810.4103/CDR.CDR_13_19Syringomyelia diagnosed with leprosy: A case reportVijay SardanaRahi Kiran BhattiproluLeprosy has high incidence in tropical and subtropical countries. We document a case of 26-year-old female with an 18-month history of insidious onset progressive weakness and wasting of small muscles of both hands with decreased sensation distal to elbows and trophic changes without thickened nerves. The patient was on anti-leprosy treatment for the past 1 year with no response to treatment. Examination revealed diminished reflexes in the upper limbs and preserved reflexes in the lower limbs. Skin biopsy was normal. Magnetic resonance imaging of the spine was suggestive of Arnold–Chiari malformation type I with large cervico-dorsal syrinx which was ultimately treated by the surgical management. We suggest that all cases of leprosy should include syringomyelia as a differential diagnosis so that unnecessary prolonged exposure to anti-leprosy drugs with potential side effects can be prevented.http://www.cdriadvlkn.org/article.asp?issn=2542-551X;year=2019;volume=3;issue=2;spage=136;epage=138;aulast=Sardanaarnold-chiari malformation type ileprosysyringomyelia |
| spellingShingle | Vijay Sardana Rahi Kiran Bhattiprolu Syringomyelia diagnosed with leprosy: A case report Clinical Dermatology Review arnold-chiari malformation type i leprosy syringomyelia |
| title | Syringomyelia diagnosed with leprosy: A case report |
| title_full | Syringomyelia diagnosed with leprosy: A case report |
| title_fullStr | Syringomyelia diagnosed with leprosy: A case report |
| title_full_unstemmed | Syringomyelia diagnosed with leprosy: A case report |
| title_short | Syringomyelia diagnosed with leprosy: A case report |
| title_sort | syringomyelia diagnosed with leprosy a case report |
| topic | arnold-chiari malformation type i leprosy syringomyelia |
| url | http://www.cdriadvlkn.org/article.asp?issn=2542-551X;year=2019;volume=3;issue=2;spage=136;epage=138;aulast=Sardana |
| work_keys_str_mv | AT vijaysardana syringomyeliadiagnosedwithleprosyacasereport AT rahikiranbhattiprolu syringomyeliadiagnosedwithleprosyacasereport |