title: Surgical treatment of type I neuritis in a teenage boy with borderline tuberculoid leprosy.
abstract: Exacerbation of the immune response against Mycobacterium leprae can lead to neuritis, which is commonly treated via immunosuppression with corticosteroids. Early neurolysis may be performed concurrently, especially in young patients with a risk of functional sequelae. We report the case of a young patient experienced intense pain in the left elbow one year after the treatment of tuberculoid-tuberculoid leprosy. The pain was associated with paresthesias in the ulnar edge and left ulnar claw. After evaluation, the diagnosis was changed to borderline tuberculoid leprosy accompanied with neuritis of the left ulnar nerve. Early neurolysis resulted in rapid reduction of the pain and recovery of motor function.
authors.affiliation: Instituto Lauro de Souza Lima, Bauru, São Paulo, Brazil.
authors.forename: Christiane Salgado
authors.initials: CS
authors.lastname: Sette
authors.affiliation: Departamento de Saúde Pública, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, São Paulo, Brazil.
authors.forename: Patrick Alexander
authors.initials: PA
authors.lastname: Wachholz
authors.affiliation: Instituto Lauro de Souza Lima, Bauru, São Paulo, Brazil.
authors.forename: Paula Yoshiko
authors.initials: PY
authors.lastname: Masuda
authors.affiliation: Instituto Lauro de Souza Lima, Bauru, São Paulo, Brazil.
authors.forename: Renata Borges Fortes da Costa
authors.initials: RB
authors.lastname: Figueira
authors.affiliation: Instituto Lauro de Souza Lima, Bauru, São Paulo, Brazil.
authors.forename: Milton Cury
authors.initials: MC
authors.lastname: Filho
authors.affiliation: Instituto Lauro de Souza Lima, Bauru, São Paulo, Brazil.
authors.forename: Cleverson Teixeira
authors.initials: CT
authors.lastname: Soares
authors.affiliation: Instituto Lauro de Souza Lima, Bauru, São Paulo, Brazil.
authors.forename: Jaison Antônio
authors.initials: JA
authors.lastname: Barreto
mesh_terms: D000293:Adolescent; D006801:Humans; D056005:Leprosy, Paucibacillary / Q000150:complications*; D008297:Male; D009407:Nerve Block; D009443:Neuritis / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome