CASE REPORT
Year : 2014  |  Volume : 7  |  Issue : 3  |  Page : 392-395

Histoid leprosy in type II reaction with neural abscess: Treated with ulnar nerve decompression and anterior transposition


1 Departments of Dermatology, Padmashree Dr. D. Y. Patil Medical College, Hospital and Research Centre, (Dr. D.Y. Patil Vidyapeeth) Pimpri, Pune, Maharashtra, India
2 Department of Orthopaedics, Padmashree Dr. D. Y. Patil Medical College, Hospital and Research Centre, (Dr. D.Y. Patil Vidyapeeth) Pimpri, Pune, Maharashtra, India

Correspondence Address:
Milind A Patvekar
B-204, QueensTown Society, S.No.3876, Udyog Nagar, Opp Lokmanya Hospital, Chinchwad, Pune - 411 033, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0975-2870.129007

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A 40-year-old male, known case of histoid leprosy on multidrug therapy since 10 months, presented with erythema nodosum leprosum since 15 days. Examination findings revealed multiple, irregular, bilateral, symmetrically distributed shiny nodules and plaques all over the body. Bilateral radial, ulnar, radial cutaneous, and lateral popliteal nerves were thickened. The right ulnar nerve was exclusively tender indicative of an abscess, for which decompression and anterior transposition of ulnar nerve was performed. Steroids were given parenterally followed by oral steroids in a dose of 60 mg/day and tapered gradually with good prognosis. In addition, thalidomide in a dose of 300 mg/day was also started.


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