Cytological diagnosis of lepromatous nerve abscess: a case report
Keywords:
Leprosy, Nerve abscess, FNAC, Ulcer, Granuloma
Abstract
Leprosy, also known as Hensen’s disease is a long standing chronic multisystem disorder mainly involving skin and peripheral nerves, prevalent in many parts of World including Asia, Latin America and Africa.We present a case report of 30-year-old male presented with a long standing ulcerated nodular cord-like swelling on right forearm for past six months. The patient was diagnosed as leprosy on cytology and confirmed on histopathology. Multi drug treatment for leprosy was given. The patient responded well. This case report provides an insight in to the usefulness of fine needle aspiration cytology as primary investigation in diagnosing lepromatous nerve abscess.References
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2. Gulati A, Kaushik R, Kaushal V. Cyto-logical diagnosis of lepromatous leprosy: A report of two cases with review of literature. J Cytol. 2012;29:203-4.
3. WHO (2006) Report of the global forum on elimination of leprosy as a public health problem. WHO, Geneva.
4. Ridley MJ. The cellular exudates Myco-bacterium leprae relationship and the critical reading of slit smears. Lepr Rev. 1989; 60:229-40.
5. Nigam PK, Kumar P, Pathak N, Mittal S. Fine needle aspiration cytology in reac-tional and non-reactional leprosy. Indian J Dermatol Venereol Leprol. 2007;73:247-9
6. Mehdi G, Maheshwari V, Ansari HA, Saxena S, Sharma R. Modified fine-needle aspiration technique for diagnosis of granulomatous skin lesions with special reference to leprosy and cutaneous tuberculosis. Diagn Cytopathol. 2010;38:391-6.
7. Rao IS, Singh MK, Gupta SD, Pandhi RK, Kapila K. Utility of fine-needle aspiration cytology in the classification of leprosy. Diagn Cytopathol. 2001;24:317-21.
8. Prasad P, George RV, Kaviarasan PK, Viswanathan P, Tippoo R, Anandhi C. Fine needle aspiration cytology in leprosy. Indian J Dermatol Venereol Leprol. 2008:74: 352-6.
9. Patil SY, Malipatil RA. Histoid leprosy: Role of fine needle aspiration cytology in the diagnosis. J Sci Soc. 2012;39:141-3.
Published
2014-09-28
Section
Case Report
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