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Washington University Experience | PERIPHERAL NEUROPATHY | 10 INFECTION | 4 Leprosy – Tuberculoid | 4A0 Case 4 History

4A0 Case 4 History
Case 4 History(AANP DSS 2004 Case 6) ---- The patient is a 46 year old Mexican man who was diagnosed with an asymptomatic hepatitis C viral infection on a screening examination for an insurance policy application. The infection was attributed to a blood transfusion given 16 years previously for unknown reasons. He was treated with interferon. Two weeks into his drug course, he developed pain, paresthesias, and a patchy, red rash in all 4 distal extremities. He sought treatment from his personal physician who noted the extremity rashes and associated sensory deficits without motor deficits. He referred the patient for skin and sural nerve biopsies to evaluate the possibility of vasculitis.



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