Open AccessHistoid leprosy in type II reaction with neural abscess: Treated with ulnar nerve decompression and anterior transposition
Author(s) -
Milind A Patvekar,
Sanjay Dev,
Alia Rizvi,
Rohit Malhotra
Publication year - 2014
Publication title -
medical journal of dr. d y patil university/medical journal of dr. d.y. patil university
Language(s) - English
Resource type - Journals
eISSN - 2278-7119
pISSN - 0975-2870
DOI - 10.4103/0975-2870.129007
Subject(s) - ulnar nerve , leprosy , transposition (logic) , medicine , decompression , abscess , surgery , anatomy , dermatology , computer science , elbow , artificial intelligence
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