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제목 |
Dupuytren’s Contracture Misdiagnosed as Neural Leprosy(Ulnar Nerve) |
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저자 |
Dong Seok Kim, Eung Joo Suh, Sang Won Kim |
소속 |
Dept. of Dermatology, Catholic Hospital, Taegu, Korea |
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년도 |
1986 |
권 |
19 |
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호 |
1 |
번호 |
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시작페이지 |
129 |
끝페이지 |
133 |
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첨부 |
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요약 |
Leprosy has been called the “imitator,” since it has many atypical forms. Differential
diagnosis cannot be adequately dealt with in brief fasion, so that it is readily overlooked
or misdiagnosed. In the case of neural involvement only with the clinical changes of
neuropathy, the so-called “neural leprosy,” the diagnosis is riot made easily because
of the wide spectrum of peripheral nerve disorders. If the confirmatory positive signs
are not present, it is justifiable to temporize rather than saddle the patient with a wrong
diagnosis, with all its adverse social and personal implications.
A 59-year-old man with Dupuytren’s contracture involving both hands was
described. The diagnosis was based on clinical presentation of cutoneous nodules, hand
deformities and histopathologic findings. He had been treated with antileprosy druge
under a diagnosis of neural leprosy (ulnar nerve) of six months’ duration at
leprosarium beferral. The corrective surgery of hand deformities was performed with the
partial fasciectomy and full thickness shin graft.
Hand deformation disorder such as Dupuytren’s contracture may entail the similarity
of the clinical presentation of neural leprosy. Therefore, it should be considered in
differential diagnosis of leprosy. |
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내용 |
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