Leprosy Mailing List – October 30th, 2012
Ref.: Opinion please.
"numbness of whole finger and little pain at the tip of the middle finger"
From: S. R. Narahari, Kasaragod, Kerala, India
Dear Members,
A neurologist referred a 16 years old girl to me today. She complained of numbness of whole finger and little pain at the tip of the middle finger on right side. Neurologist found that compound muscle action potential (CMAP) from both median nerves showing normal values. No motor or sensory deficit. Neurologist thought that there is right median nerve involvement ant cubital fossa.
O/E there are no other contributory signs. Neurologist wants to conduct MRI spine if Hansen's disease is ruled out. I request learned members opinion on this clinical picture.
Best regards,
S. R. Narahari
Dr. S. R. Narahari MD; DVD (dermatology)
Director
Institute of Applied Dermatology
# MPXVI/ 575(A), IAD junction, Uliyathadka,
Madhur Road, Kasaragod- 671124
Kerala, India
Phone: +91-4994- 223687 & 240862 , 240863
LML - S Deepak, B Naafs, S Noto, P A M Schreuder
LML Archives: http://www.aifo.it/english/resources/online/lml-archives/index.htm
Dr Salvatore Noto
Padiglione Dermatologia Sociale
Ospedale San Martino
Largo R. Benzi, 10
16132 Genoa, Italy
Tel: (+39) 010 555 27 83 - Fax: (+39) 010 555 66 41 - E-mail: salvatore.noto@hsanmartino.it
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