Leprous Neuropathy Associated with Predominant Proprioceptive Sensory Loss

고유감각소실을 주증상으로 보인 나병성 말초신경병증

  • Yoon, Tae-Kwan (Pusan National University School of Medicine) ;
  • Jo, Hee-Young (Department of Neurology, Pusan National University Yangsan Hospital) ;
  • Yuk, Ji-Won (Department of Neurology, Pusan National University Yangsan Hospital) ;
  • Shin, Jin-Hong (Department of Neurology, Pusan National University Yangsan Hospital) ;
  • Kim, Dae-Seong (Pusan National University School of Medicine)
  • 윤태관 (부산대학교 의학전문대학원) ;
  • 조희영 (양산부산대학교병원 신경과) ;
  • 육지원 (양산부산대학교병원 신경과) ;
  • 신진홍 (양산부산대학교병원 신경과) ;
  • 김대성 (부산대학교 의학전문대학원)
  • Received : 2013.01.21
  • Accepted : 2013.06.04
  • Published : 2013.06.30

Abstract

Some patients with leprosy may present with atypical features, such as isolated peripheral neuropathy without skin lesions, or marked proprioceptive dysfunction. We report a 56-year-old female who presented with predominant proprioceptive loss without skin lesion, but was finally confirmed as leprous neuropathy by sural nerve biopsy. It is postulated that large myelinated fibers were affected by chronic immunological reactions triggered by inactive bacterial particles, producing a peripheral neuropathy presenting as predominant proprioceptive sensory loss without typical skin lesions.

Keywords

References

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