The diagnosis of leprosy among patients with symptoms of peripheral neuropathy without cutaneous lesions: a follow-up study
Forty-four patients with neuritic leprosy were individually followed for periods ranging from 4 months to almost 4 years for the purpose of ascertaining the presence and/ or absence of leprosy. The neural symptoms presented were sensory impairment (41), parasthesia (28), nerve enlargement (22), nerv...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Academia Brasileira de Neurologia (ABNEURO)
2000-09-01
|
Series: | Arquivos de Neuro-Psiquiatria |
Subjects: | |
Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2000000500002&tlng=en |
_version_ | 1818987886989541376 |
---|---|
author | MICHAEL SKACEL SÉRGIO LUIZ GOMES ANTUNES MÁRCIA MARIA JARDIM RODRIGUES JOSÉ AUGUSTO DA COSTA NERY VÂNIA DA COSTA VALENTIM RENATA PATRÍCIO BRAGA DE MORAIS EUZENIR NUNES SARNO |
author_facet | MICHAEL SKACEL SÉRGIO LUIZ GOMES ANTUNES MÁRCIA MARIA JARDIM RODRIGUES JOSÉ AUGUSTO DA COSTA NERY VÂNIA DA COSTA VALENTIM RENATA PATRÍCIO BRAGA DE MORAIS EUZENIR NUNES SARNO |
author_sort | MICHAEL SKACEL |
collection | DOAJ |
description | Forty-four patients with neuritic leprosy were individually followed for periods ranging from 4 months to almost 4 years for the purpose of ascertaining the presence and/ or absence of leprosy. The neural symptoms presented were sensory impairment (41), parasthesia (28), nerve enlargement (22), nerve tenderness (20), paresia (20), amyotrophy (8). Leprosy was diagnosed in ten out of the total number of patients studied. Leprosy was confirmed by the appearance of reactional neuritis (4), reversal reaction (2), biopsy of the hypoesthesic area (3) and the appearance of non-reactional cutaneous lesion. We reported an experience in the diagnosis of neuritic leprosy and its most frequent clinical presentation with which clinicians have to be acquainted. We can also state that the clinical follow-up was an effective strategy for the diagnosis of the disease when diagnostic facilities are not available or have not confirmed the diagnosis. |
first_indexed | 2024-12-20T19:13:49Z |
format | Article |
id | doaj.art-cb9b95704d6c444082c0bb7480169e2e |
institution | Directory Open Access Journal |
issn | 1678-4227 |
language | English |
last_indexed | 2024-12-20T19:13:49Z |
publishDate | 2000-09-01 |
publisher | Academia Brasileira de Neurologia (ABNEURO) |
record_format | Article |
series | Arquivos de Neuro-Psiquiatria |
spelling | doaj.art-cb9b95704d6c444082c0bb7480169e2e2022-12-21T19:29:10ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42272000-09-01583B80080710.1590/S0004-282X2000000500002The diagnosis of leprosy among patients with symptoms of peripheral neuropathy without cutaneous lesions: a follow-up studyMICHAEL SKACELSÉRGIO LUIZ GOMES ANTUNES0MÁRCIA MARIA JARDIM RODRIGUESJOSÉ AUGUSTO DA COSTA NERY1VÂNIA DA COSTA VALENTIM2RENATA PATRÍCIO BRAGA DE MORAISEUZENIR NUNES SARNO3Fundação Oswaldo CruzFundação Oswaldo CruzFundação Oswaldo CruzFundação Oswaldo CruzForty-four patients with neuritic leprosy were individually followed for periods ranging from 4 months to almost 4 years for the purpose of ascertaining the presence and/ or absence of leprosy. The neural symptoms presented were sensory impairment (41), parasthesia (28), nerve enlargement (22), nerve tenderness (20), paresia (20), amyotrophy (8). Leprosy was diagnosed in ten out of the total number of patients studied. Leprosy was confirmed by the appearance of reactional neuritis (4), reversal reaction (2), biopsy of the hypoesthesic area (3) and the appearance of non-reactional cutaneous lesion. We reported an experience in the diagnosis of neuritic leprosy and its most frequent clinical presentation with which clinicians have to be acquainted. We can also state that the clinical follow-up was an effective strategy for the diagnosis of the disease when diagnostic facilities are not available or have not confirmed the diagnosis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2000000500002&tlng=enleprosyneuritic leprosyperipheral neuropathy |
spellingShingle | MICHAEL SKACEL SÉRGIO LUIZ GOMES ANTUNES MÁRCIA MARIA JARDIM RODRIGUES JOSÉ AUGUSTO DA COSTA NERY VÂNIA DA COSTA VALENTIM RENATA PATRÍCIO BRAGA DE MORAIS EUZENIR NUNES SARNO The diagnosis of leprosy among patients with symptoms of peripheral neuropathy without cutaneous lesions: a follow-up study Arquivos de Neuro-Psiquiatria leprosy neuritic leprosy peripheral neuropathy |
title | The diagnosis of leprosy among patients with symptoms of peripheral neuropathy without cutaneous lesions: a follow-up study |
title_full | The diagnosis of leprosy among patients with symptoms of peripheral neuropathy without cutaneous lesions: a follow-up study |
title_fullStr | The diagnosis of leprosy among patients with symptoms of peripheral neuropathy without cutaneous lesions: a follow-up study |
title_full_unstemmed | The diagnosis of leprosy among patients with symptoms of peripheral neuropathy without cutaneous lesions: a follow-up study |
title_short | The diagnosis of leprosy among patients with symptoms of peripheral neuropathy without cutaneous lesions: a follow-up study |
title_sort | diagnosis of leprosy among patients with symptoms of peripheral neuropathy without cutaneous lesions a follow up study |
topic | leprosy neuritic leprosy peripheral neuropathy |
url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2000000500002&tlng=en |
work_keys_str_mv | AT michaelskacel thediagnosisofleprosyamongpatientswithsymptomsofperipheralneuropathywithoutcutaneouslesionsafollowupstudy AT sergioluizgomesantunes thediagnosisofleprosyamongpatientswithsymptomsofperipheralneuropathywithoutcutaneouslesionsafollowupstudy AT marciamariajardimrodrigues thediagnosisofleprosyamongpatientswithsymptomsofperipheralneuropathywithoutcutaneouslesionsafollowupstudy AT joseaugustodacostanery thediagnosisofleprosyamongpatientswithsymptomsofperipheralneuropathywithoutcutaneouslesionsafollowupstudy AT vaniadacostavalentim thediagnosisofleprosyamongpatientswithsymptomsofperipheralneuropathywithoutcutaneouslesionsafollowupstudy AT renatapatriciobragademorais thediagnosisofleprosyamongpatientswithsymptomsofperipheralneuropathywithoutcutaneouslesionsafollowupstudy AT euzenirnunessarno thediagnosisofleprosyamongpatientswithsymptomsofperipheralneuropathywithoutcutaneouslesionsafollowupstudy AT michaelskacel diagnosisofleprosyamongpatientswithsymptomsofperipheralneuropathywithoutcutaneouslesionsafollowupstudy AT sergioluizgomesantunes diagnosisofleprosyamongpatientswithsymptomsofperipheralneuropathywithoutcutaneouslesionsafollowupstudy AT marciamariajardimrodrigues diagnosisofleprosyamongpatientswithsymptomsofperipheralneuropathywithoutcutaneouslesionsafollowupstudy AT joseaugustodacostanery diagnosisofleprosyamongpatientswithsymptomsofperipheralneuropathywithoutcutaneouslesionsafollowupstudy AT vaniadacostavalentim diagnosisofleprosyamongpatientswithsymptomsofperipheralneuropathywithoutcutaneouslesionsafollowupstudy AT renatapatriciobragademorais diagnosisofleprosyamongpatientswithsymptomsofperipheralneuropathywithoutcutaneouslesionsafollowupstudy AT euzenirnunessarno diagnosisofleprosyamongpatientswithsymptomsofperipheralneuropathywithoutcutaneouslesionsafollowupstudy |