Frontiers in Medicine (May 2024)

Case report: Myelitis and ganglionitis, an atypical presentation of Hansen’s disease

  • Clarissa Neves Spitz,
  • Clarissa Neves Spitz,
  • Clarissa Neves Spitz,
  • Izabela Jardim R. Pitta,
  • Izabela Jardim R. Pitta,
  • Ligia Andrade,
  • Ligia Andrade,
  • Ligia Andrade,
  • Larissa Bittencourt de Carvalho,
  • Larissa Bittencourt de Carvalho,
  • Larissa Bittencourt de Carvalho,
  • Diogo Matheus Terrana de Carvalho,
  • Felipe da Rocha Schmidt,
  • Ana Caroline Siquara de Sousa,
  • Silvana Machado Mendonça,
  • Euzenir Nunes Sarno,
  • Anna Maria Sales,
  • Roberta Olmo Pinheiro,
  • Roberta Olmo Pinheiro,
  • Marcia Rodrigues Jardim,
  • Marcia Rodrigues Jardim,
  • Marcia Rodrigues Jardim

DOI
https://doi.org/10.3389/fmed.2024.1400423
Journal volume & issue
Vol. 11

Abstract

Read online

Hansen’s disease, or leprosy, is a disease characterized by dermatological and neurological disorders. A neural form also exists, in which peripheral neuropathy occurs in the absence of skin lesions. However, cases of leprosy that involve the central nervous system and proximal nerves are rare in the literature. We describe the case of an oligosymptomatic patient diagnosed with the neural form of leprosy with involvement of peripheral nerves, dorsal root ganglion, and cervical spinal cord in an atypical presentation of the disease. Through complementary examinations and nerve biopsies, the bacillus was identified, and treatment was subsequently initiated. This case highlights the importance of investigating the suspicion of leprosy, even in cases with atypical manifestations, as early diagnosis and treatment can reduce neurological damage and deformities.

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