Neuropathies of leprosy

Neuropathies form an integral part of the symptomatology leprosy. leprosy take various forms and shapes. At one end is cutaneous nerve involvement adjacent to anaesthetic skin patch other symmetrical pansensory neuropathy devastating sensory ataxia leprous ganglionits. Lepra reactions add spectrum. Hosts immunological status largely decides clinical manifestations seen in nerves skin. A wide array diagnostic techniques like ultrasonography, magnetic resonance neurography, serological markers, molecular tests, biopsy selected cases, with special stains electron microscopy are obtainable help diagnosis. The unsuspecting clinician, lack community awareness limited availability tests important adverse factors total outcome. Multi drug therapy efficacious corticosteroids reduce impact damage efficacy, dose duration corticosteroid presently inexact immune suppressants azathioprine being evaluated. Chronic disabilities residual deficits require attention multiple specialties. In coming time, focus on prevention could lead favourable results.This review will discuss classification systems, common uncommon features, armamentarium therapeutic preventive aspects neuropathies