title: [Neuritic leprosy disclosed by reversal reaction].
abstract: We report a case of neuritic borderline tuberculoid leprosy with lingering insidious growth disclosed by a brutal reversal reaction. Inflammatory polyarthralgia and sensory and motor loss in the median and ulnar territories, without skin lesions, suggested vasculitis. A few weeks later, inflammatory skin lesions developed leading to the diagnosis of biopsy proven leprosy. Leprosy should be considered as a possible diagnosis in patients with multineuritis, especially when associated with rheumatic or cutaneous manifestations. Early skin biopsy in neuritic leprosy is discussed.
authors.affiliation: Service de Neurologie, 108 Boulevard Pinel, Lyon Armées, France.
authors.forename: L
authors.initials: L
authors.lastname: Guilloton
authors.forename: A
authors.initials: A
authors.lastname: Drouet
authors.forename: P
authors.initials: P
authors.lastname: Combemale
authors.forename: T
authors.initials: T
authors.lastname: Cruel
authors.forename: M
authors.initials: M
authors.lastname: Dupin
authors.forename: C
authors.initials: C
authors.lastname: Ribot
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007918:Leprosy / Q000175:diagnosis*; D009443:Neuritis / Q000175:diagnosis* / Q000382:microbiology*
vernacular_title: Neuropathie lépreuse révélée par une réaction de réversion.