Revista da Sociedade Brasileira de Medicina Tropical (Feb 2024)

Neural leprosy investigation using electroneuromyography and the ML Flow rapid test: a case report

  • Roque Rafael de Oliveira Neto,
  • Gabriela Belmonte Dorilêo,
  • Ana Carolina da Silva Ferreira Mendonça,
  • Amílcar Sabino Damazo

DOI
https://doi.org/10.1590/0037-8682-0586-2023
Journal volume & issue
Vol. 57

Abstract

Read online

ABSTRACT Neural leprosy, which is characterized by nerve involvement without visible skin lesions, presents a diagnostic challenge. This case report examined the significance of diverse diagnostic modalities in the identification of pure neural leprosy. A 28-year-old patient with symptoms of edema, pain, paresthesia, and diminished sensitivity in the lower limbs underwent various tests. A stilt skin smear yielded negative results on bacilloscopy, whereas a Fast ML Flow leprosy test and electroneuromyography supported the diagnosis. This discussion highlights the importance of accessible methods for early investigation. This study emphasizes the multidisciplinary approach and value of the Fast ML Flow leprosy test and electroneuromyography for diagnosing neural leprosy.

Keywords