Ulnar nerve sonography in leprosy neuropathy

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• 作者：Zhu Wang ; Da-Yue Liu ; Yang-Yang Lei ; Zheng Yang ; Wei Wang
• 关键词：Ulnar nerve ; Sonography ; Leprosy
• 刊名：Journal of Medical Ultrasonics
• 出版年：2016
• 出版时间：January 2016
• 年：2016
• 卷：43
• 期：1
• 页码：137-140
• 全文大小：1,252 KB
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• 作者单位：Zhu Wang (1)
  Da-Yue Liu (2)
  Yang-Yang Lei (1)
  Zheng Yang (3)
  Wei Wang (1)
  
  1. Department of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-Sen University, Sun Yat-Sen University, NO. 58 Zhongshan Road 2, Guangzhou, 510080, People’s Republic of China
  2. Department of Infectious Disease Control, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, People’s Republic of China
  3. Department of Pathology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, People’s Republic of China
  
• 刊物主题：Ultrasound; Imaging / Radiology;
• 出版者：Springer Japan
• ISSN：1613-2254

文摘

A 23-year-old woman presented with a half-year history of right forearm sensory and motor dysfunction. Ultrasound imaging revealed definite thickening of the right ulnar nerve trunk and inner epineurium, along with heterogeneous hypoechogenicity and unclear nerve fiber bundle. Color Doppler exhibited a rich blood supply, which was clearly different from the normal ulnar nerve presentation with a scarce blood supply. The patient subsequently underwent needle aspiration of the right ulnar nerve, and histopathological examination confirmed that granulomatous nodules had formed with a large number of infiltrating lymphocytes and a plurality of epithelioid cells in the fibrous connective tissues, with visible atypical foam cells and proliferous vascularization, consistent with leprosy. Our report will familiarize readers with the characteristic sonographic features of the ulnar nerve in leprosy, particularly because of the decreasing incidence of leprosy in recent years. Keywords Ulnar nerve Sonography Leprosy