De Abhishek, Surana Trupti V, Biswas Saugato, Reja Abu Hena Hasanoor, Chatterjee Gobinda
Department of Dermatology, Institute of Post-Graduate Medical Education and Research (IPGMER), Kolkata, West Bengal, India.
Department of Biochemistry, Institute of Post-Graduate Medical Education and Research (IPGMER), Kolkata, West Bengal, India.
Indian J Dermatol. 2015 Mar-Apr;60(2):213. doi: 10.4103/0019-5154.152577.
A middle aged male presented with non-tender cystic swelling over left distal forearm since 1 year. No other cutaneous abnormality could be found except mild paresthesia of the overlying skin and equivocal thickening of the ipsilateral ulnar nerve. Routine investigation was within normal limits. Detailed workup of the patient including MRI of the lesion suggested the diagnosis as tenosynovitis with a soft tissue mass. Fine needle aspiration cytology from the cyst showed foamy macrophages and acid fast bacilli; while PCR of the aspirate confirmed the etiological agent as M. leprae. We, thus, report a unique case of isolated tenosynovitis as a sole manifestation of pure neural leprosy which is extremely rare in world literature.
一名中年男性自1年来左前臂远端出现无痛性囊性肿胀。除了覆盖皮肤轻度感觉异常和同侧尺神经可疑增粗外，未发现其他皮肤异常。常规检查结果正常。对该患者进行的详细检查，包括病变的磁共振成像（MRI），提示诊断为腱鞘炎伴软组织肿块。对囊肿进行细针穿刺细胞学检查显示有泡沫状巨噬细胞和抗酸杆菌；而穿刺液的聚合酶链反应（PCR）证实病原体为麻风杆菌。因此，我们报告了一例独特的孤立性腱鞘炎病例，它是纯神经型麻风的唯一表现，这在世界文献中极为罕见。
