Abstract
ALTHOUGH leprosy is prevalent in tropical climates, the disease in more temperate regions is relatively infrequent. A leprous patient in a temperate climate may not be recognized because of the failure to consider this malady, as well as the difficulties inherent in some cases in establishing a diagnosis. This report is presented (1) to illustrate the widespread involvement of the nervous system in leprosy, (2) to call attention to the etiologic role of Mycobacterium leprae in peripheral neuropathy and (3) to emphasize the manner in which this type of neural leprosy may resemble other neurologic syndromes. REPORT OF CASE F. R., an Italian coal miner aged 57, was admitted to the Veterans Administration Hospital at Los Angeles in October 1946, complaining of weakness in his arms and legs, loss of sensation over the entire body and paralysis of the facial muscles. He dated the onset of his illness to 1921,
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