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Sociedade Brasileira de Medicina Tropical - SBMT, Revista da Sociedade Brasileira de Medicina Tropical, 2(48), p. 228-230, 2015

DOI: 10.1590/0037-8682-0259-2014

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Surgical treatment of type I neuritis in a teenage boy with borderline tuberculoid leprosy

Journal article published in 2015 by Sette,Christiane Salgado, Renata Borges Fortes da Costa Figueira, Masuda,Paula Yoshiko, Figueira,Renata Borges Fortes da Costa, Christiane Salgado Sette, Patrick Alexander Wachholz ORCID, Wachholz,Patrick Alexander, Paula Yoshiko Masuda, Renata Borges Fortes da Costa Figueira, Filho,Milton Cury, Milton Cury Filho, Milton Cury Filho, Cleverson Teixeira Soares, Soares,Cleverson Teixeira, Barreto,Jaison Antônio and other authors.
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Exacerbation of the immune response against Mycobacterium leprae can lead to neuritis, which is commonly treated via immunosuppression with corticosteroids. Early neurolysis may be performed concurrently, especially in young patients with a risk of functional sequelae. We report the case of a young patient experienced intense pain in the left elbow one year after the treatment of tuberculoid-tuberculoid leprosy. The pain was associated with paresthesias in the ulnar edge and left ulnar claw. After evaluation, the diagnosis was changed to borderline tuberculoid leprosy accompanied with neuritis of the left ulnar nerve. Early neurolysis resulted in rapid reduction of the pain and recovery of motor function.