Primary neural leprosy: systematic review

Author:

Garbino Jose Antonio1,Marques Jr Wilson2,Barreto Jaison Antonio1,Heise Carlos Otto3,Rodrigues Marcia Maria Jardim4,Antunes Sergio L.4,Soares Cleverson Teixeira1,Floriano Marcos Cesar5,Nery Jose Augusto4,Trindade Maria Angela Bianconcini1,Carvalho Noemia Barbosa6,Andrada Nathalia Carvalho de6,Barreira Amilton Antunes2,Virmond Marcos da Cunha Lopes1

Affiliation:

1. Secretaria de Estado de Saude, Brazil

2. Universidade de Sao Paulo (USP), Brazil

3. USP, Brazil

4. Fundacao Oswaldo Cruz, Brazil

5. Universidade Federal de Sao Paulo (Unifesp), Brazil

6. Conselho Federal de Medicina, Brazil

Abstract

The authors proposed a systematic review on the current concepts of primary neural leprosy by consulting the following online databases: MEDLINE, Lilacs/SciELO, and Embase. Selected studies were classified based on the degree of recommendation and levels of scientific evidence according to the “Oxford Centre for Evidence-based Medicine”. The following aspects were reviewed: cutaneous clinical and laboratorial investigations, i.e. skin clinical exam, smears, and biopsy, and Mitsuda's reaction; neurological investigation (anamnesis, electromyography and nerve biopsy); serological investigation and molecular testing, i.e. serological testing for the detection of the phenolic glycolipid 1 (PGL-I) and the polymerase chain reaction (PCR); and treatment (classification criteria for the definition of specific treatment, steroid treatment, and cure criteria).

Publisher

FapUNIFESP (SciELO)

Subject

Neurology,Neurology (clinical)

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