To what extent are the peripheral nerve lesions that may complicate leprosy given space in neurology curricula?

Leprosy Mailing List – January 8^th, 2011

Ref.:    To what extent are the peripheral nerve lesions that may complicate leprosy given space in neurology curricula? 

From:  Watson J., China

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Dear Dr Noto,

I refer to Prof. Ryan message (LML (Dec. 31^st, 2010).  To what extent are the facial and peripheral nerve lesions that may complicate leprosy given space in neurology curricula?  These are usually not the first signs of leprosy but, in my recent Far East experience, even signs of such nerve lesions do not consistently trigger thoughts of leprosy in neurology departments during differential diagnosis.  Hence even further delays in leprosy diagnosis and treatment.  One patient was operated on by tendon transfer in a major city hospital after ulnar paralysis but before leprosy was identified as the cause of the nerve lesion.

Kind regards,

Jean Watson