Neuritic leprosy disclosed by reversal reaction
Guilloton, L.; Drouet, A.; Combemale, P.; Cruel, T.; Dupin, M.; Ribot, C.
Revue Neurologique (Paris) 158(1): 84-86
2002
ISSN/ISBN: 0035-3787 PMID: 11938329 Document Number: 548728
We report a case of neuritic borderline tuberculoid leprosy with lingering insidious growth disclosed by a brutal reversal reaction. Inflammatory polyarthralgia and sensory and motor loss in the median and ulnar territories, without skin lesions, suggested vasculitis. A few weeks later, inflammatory skin lesions developed leading to the diagnosis of biopsy proven leprosy. Leprosy should be considered as a possible diagnosis in patients with multineuritis, especially when associated with rheumatic or cutaneous manifestations. Early skin biopsy in neuritic leprosy is discussed.