Mahajan P M, Jogaikar D G, Mehta J M
Indian J Lepr. 1996 Apr-Jun;68(2):137-41.
Pure neuritic leprosy is a well-recognized clinical entity. Manifestations of leprosy in pure neuritic form accounted for 179 patients out of the total 3853 leprosy patients (4.6%) attending our Poona Urban Leprosy Investigation Centre clinics. Patients with pure neuritic leprosy are prone to develop nerve damage. Eight-seven (48.6%) of our pure neuritic patients presented with deformities. Involvement of upper extremity and right ulnar nerve in particular was the most common clinical feature. Patients presenting with involvement of two nerves of the same extremity was also quite common. None of our patients developed skin lesions while on anti-leprosy treatment. It is important to recognize neuritic symptoms early and suspect leprosy even in the absence of skin lesions.
纯神经炎型麻风是一种公认的临床实体。在我们浦那城市麻风病调查中心诊所就诊的3853例麻风病患者中，纯神经炎型麻风表现的患者有179例（4.6%）。纯神经炎型麻风患者容易出现神经损伤。我们的纯神经炎型患者中有87例（48.6%）出现了畸形。上肢尤其是右尺神经受累是最常见的临床特征。同一肢体两条神经受累的患者也相当常见。我们的患者在接受抗麻风治疗期间均未出现皮肤病变。早期识别神经炎症状并即使在没有皮肤病变的情况下也怀疑麻风病很重要。
