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Case Reports in Dermatological Medicine
Volume 2012, Article ID 758093, 4 pages
Case Report

“Segmental Necrotizing Granulomatous Neuritis”: A Rare Manifestation of Hansen Disease—Report of 2 Cases

1Department of Pathology, Government Medical College, Thrissur, Kerala 680596, India
2Department of Dermatology and Venereology, Government Medical College, Thrissur, Kerala 680596, India

Received 5 November 2012; Accepted 11 December 2012

Academic Editors: R. Krishnan and M. Ramos-e-Silva

Copyright © 2012 P. S. Jayalakshmy et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Segmental necrotizing granulomatous neuritis (SNGN) is a rare condition affecting the nerves of Hansen disease patients. This is usually seen as a complication in association with the skin lesions of Hansen disease. Though very rare, it can also be the first presenting symptom of pure neuritic leprosy. We hereby report 2 cases of SNGN—one case of pure neuritic leprosy with initial presentation as SNGN and another, a treated case of borderline tuberculoid leprosy which relapsed with skin lesions and associated SNGN in the peripheral nerve.