title: Primary Neuritic Hansen's Disease presenting as Ulnar Nerve Abscess in a Human Immunodeficiency Virus Positive Patient.
abstract: Leprosy has been increasingly known to have an enigmatic relationship with human immunodeficiency virus infection. Co-infection may result in atypical manifestations of leprosy. A 45-year old human immunodeficiency virus-positive male; agricultural laborer presented with a swelling over right elbow, right hand deformity, generalized itching and recurrent vesicles overthe perinasal area. Clinical and investigational findings were consistent with mononeuritic type of Hansen's disease with right sided silent ulnar nerve abscess, partial claw hand. CD4+ count of the patientwas 430 cells/cmm. This patient also hadherpes simplex labialis, with HIV-associated pruritus. To the best of our knowledge such an atypical presentation has not been reported earlier.
authors.forename: S
authors.initials: S
authors.lastname: Karjigi
authors.forename: K
authors.initials: K
authors.lastname: Herakal
authors.forename: S C
authors.initials: SC
authors.lastname: Murthy
authors.forename: A
authors.initials: A
authors.lastname: Bathina
authors.forename: M R
authors.initials: MR
authors.lastname: Kusuma
authors.forename: K R Y
authors.initials: KR
authors.lastname: Nikhil
mesh_terms: D000038:Abscess / Q000209:etiology*; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D007917:Leprostatic Agents / Q000627:therapeutic use; D015441:Leprosy, Tuberculoid / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D011239:Prednisolone / Q000627:therapeutic use; D014459:Ulnar Nerve / Q000473:pathology*; D020424:Ulnar Neuropathies / Q000175:diagnosis / Q000473:pathology
chemical_list: D000893:Anti-Inflammatory Agents; D007917:Leprostatic Agents; D011239:Prednisolone