Leprosy Mailing List – February 14, 2021
Ref.: (LML) d.d. pure neuritic leprosy and diabetic neuropathy
From: Wim Theuvenet, Apeldoorn, the Netherlands
Dear Pieter,
Interesting question from Dr. G. Suryanarayan Rao, LML February 13, 2020. One would expect that a diabetic neuropathy in general is rather symmetrical and mostly involving the lower limbs with signs of a "stocking" anaesthesia.
In pure leprosy neuropathy, the nerve(s) involved tend to be more asymmetrical, often more enlarged and tender.
When in any doubt I would suggest to do a "cytological needle aspiration" of the enlarged nerve(s) for smear examination (when this facility is available).
In both situations a (rather simple) nerve decompression can help to restore nerve function!!
There is an abundance of excellent research by Prof Lee A Dellon of the John Hopkins University on this topic.
Is this an answer to your question?
With best regards,
Willem Theuvenet
LML - S Deepak, B Naafs, S Noto and P Schreuder
LML blog link: http://leprosymailinglist.blogspot.it/
Contact: Dr Pieter Schreuder << editorlml@gmail.com
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