Multiple cranial neuropathies associated with leprosy.
We report on a Samoan man with dysphagia, voice hoarseness, facial erythema, and edema. Neurologic examination revealed hypesthesia at the site of the facial rash, enlarged auricular nerves, a right facial palsy, decreased gag reflexes, and voice hoarseness. Laryngoscopic examination showed paralysis of the left vocal cord, and a barium swallow revealed a possible compressive lesion. A skin biopsy specimen was diagnostic of tuberculoid leprosy. This patient has an unusual case of leprosy with multiple cranial neuropathies.
Paul
J T
JT
Department of Family Practice, Martin Army Community Hospital, Ft. Benning, Ga.
North-Wilhelm
K
K
Higdon
G A
GA
Chesser
R S
RS
Hayden
D L
DL
D000328:Adult; D003389:Cranial Nerve Diseases / Q000209:etiology*; D005154:Facial Nerve; D005930:Glossopharyngeal Nerve; D006801:Humans; D015441:Leprosy, Tuberculoid / Q000150:complications* / Q000473:pathology; D008297:Male; D014276:Trigeminal Nerve; D014630:Vagus Nerve