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Vasculitic neuropathy in a patient with inactive treated lepromatous leprosy
J R Bowen1, A C McDougall, J H Morris
1Department of Clinical Neurology, Radcliffe Infirmary, Oxford, UK.
Abstract:
A 46 year old Asian male with previously treated lepromatous leprosy developed a stepwise multifocal sensory disturbance 25 years later. Neurophysiology demonstrated marked deterioration from previous studies. Sural nerve biopsy disclosed a vasculitic process superimposed on inactive lepromatous leprosy. Immunocytochemical stains for mycobacterial antigen showed deposits within nerve and vessel walls. A delayed vasculitic neuropathy precipitated by persisting mycobacterial antigen is proposed.
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