A study of shape of ulnar nerve in leprosy patients
Journal Title: IP Indian Journal of Clinical and Experimental Dermatology - Year 2017, Vol 3, Issue 1
Abstract
Background: The most common nerve affected in leprosy is ulnar nerve, which show enlargement and inflammation. Aims: To study shape of ulnar nerve (UN) in the cubital tunnel and to evaluate the role of high-resolution ultrasonography (HRUSG) in the diagnosis of ulnar nerve changes in leprosy. Methods: A total of 45 cases of clinically diagnosed leprosy patients with ulnar nerve involvement in the age group of 15-80 years constituted the subject material for present study. This was a cross sectional observational study with 90 arms from 45 patients (90 at cubital tunnel, 90 two centimetres above cubital tunnel). The ulnar nerves were evaluated with 12 MHz small footprint linear array transducer. The ulnar nerve shape was noted. Data analysis was done by using statistical package for social sciences (SPSS) Software. Results: The shape of ulnar nerve overall (including right and left) shows that majority of patient had oval shape ulnar nerve followed by round and other types. The shape of ulnar nerve is not changed statistically compared to normal. In some of patient due to trauma and other causes of nerve damage, shape had changed to flat or sometime triangular. Limitations: The authors required 1year to complete 45 consecutive leprosy patient but the patient has mean disease duration of 15 years. Conclusion: In 180 ulnar nerves which including ulnar nerve at ulnar notch and two centimetres above ulnar notch, 152 were oval while 14 were round, 7 were triangular and 7 were flattened.
Authors and Affiliations
Krishnendra Varma, Prashant Harit
“Cutaneous manifestations in chronic renal failure patients on haemodialysis”
Introduction: Chronic renal failure presents with wide range of cutaneous manifestations. Many newer changes have been described since the advent of haemodialysis which prolongs the life expectancy giving time for these...
Comparative study of intralesional BCG and PPD in the treatment of multiple cutaneous warts
Introduction Multiple cutaneous warts are often asymptomatic cosmetically disfiguring and difficult to treatnbspwith conventional modalities hence immunotherapeutic modalities can be used in such cases There are no compa...
Clinical and microbiological profile of skin and soft tissue infections (SSTI) leading to sepsis
Preamble Skin and soft tissue infections SSTI are an important cause of sepsis Acute skin failure may result from many dermatological conditions In this study we tried to highlight the role of skin failure as a component...
Fixed drug eruption due to flupirtine: A case report with review of literature
Fixed drug eruptions (FDE) are common cutaneous adverse drug reactions, commonly caused by antibiotics and analgesics. Flupirtine, a selective potassium channel opener is non-opoid, non- NSAID analgesic used for the trea...
Oxidative stress markers in patients of psoriasis with metabolic syndrome
Introduction Psoriasis is a chronic inflammatory T cell mediated immune disorder characterized by the formation of erythematous scaly papules and plaquesObjective To do a comparative evaluation of the markers of oxidativ...