(LML) Neural Leprosy and Rheumatoid Arthritis

Leprosy Mailing List – June 28,  2018

Ref.:   (LML)  Neural Leprosy and Rheumatoid Arthritis

From:   Tahir Dahiru, Kanu, Nigeria

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Dear Pieter Schreuder,

 

I write to find out whether Neural Leprosy and Rheumatoid Arthritis are mutually exclusive to each other.

 

The reason why this question is being asked is that a 24-year old lady who just her first child had presented to a Leprosy OPD with multiple nerve enlargements, nerve tenderness and loss of nerve function of both motor and sensory nerves affecting the ulnar, median, posterior tibial and common peroneal nerves. She never had any obvious skin lesion suggestive of Leprosy.  A provisional diagnosis of Neural Leprosy with severe type 1 Lepra reaction was made. Patient was placed on MDT for 12 months and commenced on a standard course of prednisolone.

 

Eight years later she presented to a different Doctor with Swan neck deformities and wrist involvement. The initial diagnosis of Pure Neural Leprosy was being questioned. 

 

Can anybody advise me on this?

 

 

Thanks,

 

 

Tahir Dahiru

 

 

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LML - S Deepak, B Naafs, S Noto and P Schreuder

LML blog link: http://leprosymailinglist.blogspot.it/

Contact: Dr Pieter Schreuder << editorlml@gmail.com