Pitfalls in the diagnosis of leprous neuropathy: Lessons learnt from a University hospital in an endemic zone

- Leprosy is a common cause of neuropathy the world over with protean manifestations.
- It may be mistaken for vasculitic, granulomatous and other rheumatologic disorders.
- Patients may have positive sensory symptoms and lack trophic ulcers/thickened nerves.
- Impaired kinaesthesia and variable stretch reflexes may mislead clinicians.
- Awareness of uncommon features is essential for timely diagnosis and management.