[Should biopsy be done on the sensory branch of the radial nerve in leprosy patients? Apropos of 112 cases].
Biopsies of the superficial sensory branch of the radial nerve are contested. Some authors mention it to be simple and without harm, but others are formally against this procedure. At ILAD, 274 biopsies were made between 1986 to 1992. We present a review of 112 leprosy patients for whom biopsy was done. On 112 reexamined patients, we observed 2 benign neuroma, hence 2%. The comparison of nerve function before biopsy and after, of 63 of the 112 patients, reexamination shows no significant modification of the functional score. Given even the occurrence of benign neuroma in only 2% of the cases, the authors do not recommend the biopsy of the superficial sensory branch of the radial nerve. For research purposes on neuritis in leprosy, as well as to assure diagnosis in primary neuritic leprosy, we propose the biopsy of the sensory branch of the musculo cutaneous nerve at elbow level.
Grauwin
M Y
MY
Institut de Léprologie Appliquée de Dakar, Annexe Sénégal.
Dieye
M
M
Mane
I
I
Cartel
J L
JL
D000293:Adolescent; D000328:Adult; D000368:Aged; D001706:Biopsy / Q000009:adverse effects; D002648:Child; D005260:Female; D006801:Humans; D007918:Leprosy / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009138:Musculocutaneous Nerve / Q000473:pathology / Q000503:physiopathology; D009443:Neuritis / Q000473:pathology; D009463:Neuroma / Q000209:etiology; D009475:Neurons, Afferent / Q000473:pathology / Q000502:physiology; D010523:Peripheral Nervous System Diseases / Q000473:pathology; D010524:Peripheral Nervous System Neoplasms / Q000209:etiology; D011826:Radial Nerve / Q000473:pathology* / Q000503:physiopathology; D012677:Sensation / Q000502:physiology