Fw: (LML) d.d. pure neuritic leprosy and diabetic neuropathy

 

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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