tailieunhanh - Báo cáo y học: " Intraneural injection of corticosteroids to treat nerve damage in leprosy: a case report and review of literature"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Intraneural injection of corticosteroids to treat nerve damage in leprosy: a case report and review of literature | Journal of Medical Case Reports BioMed Central Open Access Case report Intraneural injection of corticosteroids to treat nerve damage in leprosy a case report and review of literature Sherine G Nashed1 Tarek A Rageh2 Emad S Attallah-Wasif3 and Alaa A Abd-Elsayed 4 Address 1Assiut Dermatology and Leprosy Clinic Assiut Egypt 2Neurology Department Assiut University Hospital Assiut Egypt 3Rush University Medical Center Chicago IL USA and 4Public Health and Community Medicine Department Faculty of Medicine Assiut University Assiut Egypt Email Sherine G Nashed - Tarek A Rageh - Tarek-rageh@ Emad S Attallah-Wasif - emad_attallah-wasif@ Alaa A Abd-Elsayed - alaaawny@ Corresponding author Published 9 December 2008 Received 23 April 2008 Journal of Medical Case Reports 2008 2 381 doi 1752-1947-2-381 Accepted 9 December 2008 This article is available from http content 2 1 381 2008 Nashed et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Nerve damage in leprosy patients leads to deformities and disabilities. Oral corticosteroids are given early to prevent permanent injury. We present a new approach to treat well-established nerve damage with local injection of corticosteroids. Case presentation A 60-year-old leprosy patient presented with right claw hand deformity secondary to right ulnar and median neuropathy. Monthly intraneural injection of corticosteroids resulted in improvement in sensory and motor function of his right hand over a 6-month period. Nerve conduction velocity testing documented the success of our therapy. Conclusion We report the first case of successful nerve regeneration in neglected neuropathy .