[Neuritic leprosy disclosed by reversal reaction].
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.
Guilloton
L
L
Service de Neurologie, 108 Boulevard Pinel, Lyon Armées, France.
Drouet
A
A
Combemale
P
P
Cruel
T
T
Dupin
M
M
Ribot
C
C
D000328:Adult; D005260:Female; D006801:Humans; D007918:Leprosy / Q000175:diagnosis*; D009443:Neuritis / Q000175:diagnosis* / Q000382:microbiology*
Neuropathie lépreuse révélée par une réaction de réversion.