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患者,男,39岁,工人,山东籍人。因双上肢麻木17年,双下肢麻木12年入院。患者17年前逐渐出现双手麻木,凉感。5年后双下肢亦发木,长期按“末梢神经炎”治疗,无效。3年来左手肌肉萎缩,近1年延及右手肌肉,2个月来双臂内侧出现发作性剧痛,每次持续10分钟左右,应用激素及一般止痛药物治疗无效。亲属中无类似病史。查体:颅神经未见异常,双手骨间肌萎缩,双上肢自肘关节上7cm以下及下肢膝关节下10cm以下痛、温觉减退,四肢末端深感觉及触觉消失,右尺神经粗大,双足皮肤干燥,病理反射未引出。肌电图为神经原性损害。双眉弓处取皮下组织抗酸染色见麻风菌。临床诊断:麻风性周围神经炎。讨论:麻风病是由麻风杆菌感染导致的慢性传染
Patient, male, 39 years old, worker, Shandong nationality. Numbness of upper extremities for 17 years, numbness of lower extremities 12 years admitted. 17 years ago, patients gradually numb hands, cool feeling. After 5 years, both lower extremities also send wood, according to long-term “peripheral neuritis” treatment, invalid. 3 years left muscle atrophy, nearly 1 year extension of the right hand muscles, 2 months to the inside of the arms appear episodes of severe pain, each lasting about 10 minutes, the application of hormones and general painkillers drugs ineffective. Relatives no similar history. Physical examination: no abnormal cranial nerves, both hands between the atrophy of the interosseous muscle, the upper extremity since the elbow below the knee and knee joint under the following 10cm pain, warm feel diminished extremities deep feeling and touch disappear, right ulnar nerve, double Dry skin, pathological reflex did not lead. Electromyography for neurogenic damage. Eyebrow arch take the subcutaneous tissue acid-resistant stain see leprosy. Clinical diagnosis: leprosy peripheral neuritis. Discussion: Leprosy is a chronic infection caused by Leprosy infection