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Leprous Neuropathy Associated with Predominant Proprioceptive Sensory Loss

机译:麻风性神经病与主要的本体感受性感觉丧失有关

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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.
机译:一些麻风病人可能表现出非典型特征,例如孤立的周围神经病变而没有皮肤损害或明显的本体感受功能障碍。我们报告了一位56岁的女性,其主要本体感觉丧失无皮肤病变,但经腓肠神经活检最终证实为麻风性神经病。据推测,大的有髓纤维受到非活性细菌颗粒触发的慢性免疫反应的影响,产生周围神经病,表现为主要的本体感觉感觉丧失,而没有典型的皮肤损伤。

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