Leprosy Mailing List – January 7, 2022
Ref.: (LML) median nerve damage in leprosy
From: Salvatore Noto, Bergamo, Italy
Dear Pieter,
I would like to present a case of a leprosy patient treated with a six-month course of multi-drug therapy for paucibacillary leprosy.
While I was visiting a clinic in a rural area, in West Africa, we saw a patient that had just completed his treatment course and was due for "release of treatment". The local nurse noticed blood on the 2nd fingertip of his hand. One picture is in attachment. The picture also shows sequela of trauma to the 1st finger and dry palm.
The sequelae of "unnoticed" trauma on 1st and 2nd fingers are sign of advanced sensory damage of the median nerve.
The patient had been rightly diagnosed of leprosy and treated with the WHO suggested multi-drug therapy and he was ready to be released from treatment but, diagnosis of neuritis of his median nerve and of loss of sensation of the median region of the hand had been missed. Deformity was going on.
I believe that in leprosy, like other diseases, clinical skills should be on the forefront.
Best regards,
Salvatore
S. Noto
Bergamo, Italy
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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