• View in gallery
    Figure 1.

    Unusually thickened ulnar nerve (fine arrows) in a patient with borderline leprosy. There is a hypopigmented skin lesion on the dorsal aspect of the elbow (a thick arrow). This figure appears in color at www.ajtmh.org.

  • View in gallery
    Figure 2.

    Lagophthalmos in a patient with lepromatous leprosy. Patient is attempting to close his eyelids but he is unable to close them. This figure appears in color at www.ajtmh.org.

  • 1.

    Saunderson P, Gebre S, Desta K, Byass P, Lockwood DN, 2000. The pattern of leprosy-related neuropathy in the AMFES patients in Ethiopia: definitions, incidence, risk factors and outcome. Lepr Rev 71: 285308.

    • Search Google Scholar
    • Export Citation
  • 2.

    Turkof E, Richard B, Assadian O, Khatri B, Knolle E, Lucas S, 2003. Leprosy affects facial nerves in a scattered distribution from the main trunk to all peripheral branches and neurolysis improves muscle function of the face. Am J Trop Med Hyg 68: 8188.

    • Search Google Scholar
    • Export Citation
Past two years Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 323 197 22
PDF Downloads 125 109 12
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 

 

 

Unusually Thickened Ulnar Nerve and Lagophthalmos in Leprosy

Ravindra Kumar GargDepartment of Neurology, Chhatrapati Shahuji Maharaj Medical University, Uttar Pradesh, Lucknow, India

Search for other papers by Ravindra Kumar Garg in
Current site
Google Scholar
PubMed
Close

Case summary

Leprosy is a common cause of neuropathy. Thickened peripheral nerves are one of the cardinal features. Ulnar and common peroneal nerves are the most frequent thickened nerves.1 Figure 1 shows a visibly thickened ulnar nerve in a 22-year-old man presenting with mononeuritis multiplex along with hypopigmented and hypoesthetic skin lesions. Borderline leprosy has a high propensity to involve nerve trunks resulting in mononeuritis multiplex. Figure 2 shows lagophthalmos in a 45-year-old patient of lepromatous leprosy. Lagophthalmos is the inability to close the eye because of paralysis of the upper eyelid. Involvement of zygomatic and temporal branches of facial nerve result in lagophthalmos.2

Figure 1.
Figure 1.

Unusually thickened ulnar nerve (fine arrows) in a patient with borderline leprosy. There is a hypopigmented skin lesion on the dorsal aspect of the elbow (a thick arrow). This figure appears in color at www.ajtmh.org.

Citation: The American Society of Tropical Medicine and Hygiene 82, 5; 10.4269/ajtmh.2010.09-0628

Figure 2.
Figure 2.

Lagophthalmos in a patient with lepromatous leprosy. Patient is attempting to close his eyelids but he is unable to close them. This figure appears in color at www.ajtmh.org.

Citation: The American Society of Tropical Medicine and Hygiene 82, 5; 10.4269/ajtmh.2010.09-0628

  • 1.

    Saunderson P, Gebre S, Desta K, Byass P, Lockwood DN, 2000. The pattern of leprosy-related neuropathy in the AMFES patients in Ethiopia: definitions, incidence, risk factors and outcome. Lepr Rev 71: 285308.

    • Search Google Scholar
    • Export Citation
  • 2.

    Turkof E, Richard B, Assadian O, Khatri B, Knolle E, Lucas S, 2003. Leprosy affects facial nerves in a scattered distribution from the main trunk to all peripheral branches and neurolysis improves muscle function of the face. Am J Trop Med Hyg 68: 8188.

    • Search Google Scholar
    • Export Citation

Author Notes

*Address correspondence to Ravindra Kumar Garg, Department of Neurology, Chhatrapati Shahuji Maharaj Medical University, Uttar Pradesh, Lucknow, India. E-mail: garg50@yahoo.com

Disclosure: The journal has permission from the patient shown in Figure 2 to publish his photograph. Ravindra Kumar Garg reports no financial disclosures.

Author's address: Ravindra Kumar Garg, Department of Neurology, Chhatrapati Shahuji Maharaj Medical University, Uttar Pradesh, Lucknow, India, E-mail: garg50@yahoo.com.

Save