Indian Journal of Dermatology
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Year : 2015  |  Volume : 60  |  Issue : 2  |  Page : 213

Isolated tenosynovitis as a sole manifestation: The great mimicker still continues to surprise Us

1 Department of Dermatology, Institute of Post Graduate Medical Education and Research (IPGMER), Kolkata, West Bengal, India
2 Department of Biochemistry, Institute of Post Graduate Medical Education and Research (IPGMER), Kolkata, West Bengal, India

Correspondence Address:
Abhishek De
Department of Dermatology, IPGMER, 242, AJC Bose Road, Bhowanipur, Kolkata - 700020, West Bengal
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0019-5154.152577

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A middle aged male presented with non-tender cystic swelling over left distal forearm since 1 year. No other cutaneous abnormality could be found except mild paresthesia of the overlying skin and equivocal thickening of the ipsilateral ulnar nerve. Routine investigation was within normal limits. Detailed workup of the patient including MRI of the lesion suggested the diagnosis as tenosynovitis with a soft tissue mass. Fine needle aspiration cytology from the cyst showed foamy macrophages and acid fast bacilli; while PCR of the aspirate confirmed the etiological agent as M. leprae. We, thus, report a unique case of isolated tenosynovitis as a sole manifestation of pure neural leprosy which is extremely rare in world literature.

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