Leprosy Diagnostic Landscape

Monofilament Sensory Testing

Graded nylon monofilaments are applied to defined sites on the hands, feet and lesional skin to establish cutaneous sensory thresholds. The method is used to detect and monitor nerve function impairment rather than for aetiological diagnosis.

Technology
Clinical & Functional · Nerve function assessment
What it measures
Cutaneous sensory threshold
Developer
Semmes–Weinstein monofilaments from several manufacturers, and in-house sets
Specimen
None (clinical/imaging)
Development status
FDA/CE/WHO endorsed
Regulatory status
CE marked
Intended use
Detection and serial monitoring of nerve function impairment for disability prevention
Main limitation
Does not identify the cause, and results overlap with diabetic and other common neuropathies.
Linked publications
77
TPP-1, confirming leprosy
61.0 of 100, partial alignment
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