{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T13:27:58Z","timestamp":1760189278061,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pract Neurol"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:p>A middle-aged man of South Asian decent presented with a 4-month history of bilateral sensory disturbance affecting the median nerve distribution and dorsum of both feet. Neurological examination was otherwise normal. A patchy absence of sensory responses was noted on nerve conduction studies and electromyogram (NCS\/EMG). Over the next 3\u2005months sensory symptoms progressed to involve median, radial, ulnar, sural and peroneal nerves bilaterally. Repeat NCS\/EMG confirmed a mononeuritis multiplex predominantly involving the sensory fascicles. Areas of hypopigmentation, a right-lower motor facial weakness and ophthalmic branch trigeminal nerve involvement were noted on examination. Punch skin biopsy as well as sural nerve biopsy demonstrated chronic granulomatous inflammation without evidence of <jats:italic>Mycobacterium<\/jats:italic>. A slit skin smear test demonstrated <jats:italic>Mycobacterium leprae<\/jats:italic> consistent with a diagnosis of primary neuritic leprosy. In the appropriate clinical context, leprosy should be included in the differential diagnosis of mononeuritis multiplex.<\/jats:p>","DOI":"10.1136\/practneurol-2012-000343","type":"journal-article","created":{"date-parts":[[2013,1,13]],"date-time":"2013-01-13T03:58:11Z","timestamp":1358049491000},"page":"39-41","source":"Crossref","is-referenced-by-count":5,"title":["An unusual cause of mononeuritis multiplex"],"prefix":"10.1136","volume":"13","author":[{"given":"Saif","family":"Huda","sequence":"first","affiliation":[{"name":"Department of Neurology, Walton Centre for Neurology and Neurosurgery, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anita","family":"Krishnan","sequence":"additional","affiliation":[{"name":"Department of Neurology, Walton Centre for Neurology and Neurosurgery, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,1,13]]},"reference":[{"key":"2025090411304210000_13.1.39.1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2011.241612"},{"key":"2025090411304210000_13.1.39.2","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/94.4.207"},{"key":"2025090411304210000_13.1.39.3","first-page":"255","article-title":"Classification of leprosy according to immunity. 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