Leprosy Mailing List – February 16, 2021
Ref.: (LML) d.d. pure neuritic leprosy and diabetic neuropathy
From: Karthikeyan Govindasamy, New Delhi, India
Dear Pieter,
I agree with points explained by Dr Wim Brakel (LML, February 16, 2021) and Dr Wim Theuvenet (LML, February 14, 2021).
Based on my clinical experience (as an Occupational therapist) in performing nerve function assessment for new cases of leprosy (including pure neuritic leprosy) as well as for diabetic patient, those with pure neuritic leprosy often present with sensory impairments, paraesthesia and/or visible deformities in feet as well as in hands(1). The pattern of impairments in hands and feet; glove and stocking type of anaesthesia, claw fingers, thumb paralysis, claw toes with or without ulcer often help in distinguishing between neuropathy due to leprosy and diabetes, especially in endemic countries like India.
Further clinical investigation mentioned by Dr Ben (LML, February 15, 2021) and Dr Wim Brakel (LML, February 16, 2021) would help in confirmation of type of neuropathy.
1. Kumar, Bhushan, et al. "Pure neuritic leprosy in India: an appraisal." International journal of leprosy and other mycobacterial diseases 72.3 (2004): 284-290.
Kind regards,
Karthikeyan
Research Coordinator,
The Leprosy Mission Trust India,
India.
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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