# Neural leprosy investigation using electroneuromyography and the ML Flow rapid test: a case report

## TL;DR

This case report shows how electroneuromyography and the ML Flow test helped diagnose leprosy in a patient without skin lesions.

## Contribution

Demonstrates the utility of ML Flow and electroneuromyography for diagnosing pure neural leprosy.

## Key findings

- The ML Flow test and electroneuromyography confirmed leprosy despite negative skin smear results.
- Early diagnosis was achieved through a multidisciplinary approach.
- The case highlights the importance of accessible diagnostic tools for neural leprosy.

## Abstract

Neural leprosy, which is characterized by nerve involvement without visible skin lesions, presents a diagnostic challenge. This case report examined the significance of diverse diagnostic modalities in the identification of pure neural leprosy. A 28-year-old patient with symptoms of edema, pain, paresthesia, and diminished sensitivity in the lower limbs underwent various tests. A stilt skin smear yielded negative results on bacilloscopy, whereas a Fast ML Flow leprosy test and electroneuromyography supported the diagnosis. This discussion highlights the importance of accessible methods for early investigation. This study emphasizes the multidisciplinary approach and value of the Fast ML Flow leprosy test and electroneuromyography for diagnosing neural leprosy.