Skip to main content
Top
Published in: Clinical Rheumatology 1/2006

01-02-2006 | Case Report

First report of leprosy presenting as acute polyarthritis in the setting of type I downgrading lepra reaction

Authors: Haneen Adel Al-Raqum, S. S. Uppal, Rana Abdul Rahman El Abdalghani, Ibrahim Lasheen

Published in: Clinical Rheumatology | Issue 1/2006

Login to get access

Abstract

Leprosy is a rare cause of acute polyarthritis. We describe the occurrence of oedema of the hands and feet and acute polyarthritis in the setting of type I (downgrading) lepra reaction in an untreated patient with borderline leprosy. This case report further expands the range of articular manifestations that can occur in leprosy.
Literature
1.
go back to reference al Kandari S, al Anezi A, Pugh RN, al Qasaf F, al Abyad S (1990) Leprosy in Kuwait: an epidemiological study of new cases. Ann Trop Med Parasitol 84:513–522PubMed al Kandari S, al Anezi A, Pugh RN, al Qasaf F, al Abyad S (1990) Leprosy in Kuwait: an epidemiological study of new cases. Ann Trop Med Parasitol 84:513–522PubMed
2.
go back to reference Bonvoisin B, Martin JM, Bouvier M, Bocquet B, Boulliat J, Duivon JP (1983) Articular manifestations in leprosy (in French). Sem Hop 59:302–305PubMed Bonvoisin B, Martin JM, Bouvier M, Bocquet B, Boulliat J, Duivon JP (1983) Articular manifestations in leprosy (in French). Sem Hop 59:302–305PubMed
3.
go back to reference Cossermelli-Messina W, Cossermelli W (1995) Rheumatic involvement in Hansen’s disease. Rev Hosp Clin Fac Med Sao Paulo 50:107–110PubMed Cossermelli-Messina W, Cossermelli W (1995) Rheumatic involvement in Hansen’s disease. Rev Hosp Clin Fac Med Sao Paulo 50:107–110PubMed
4.
go back to reference Gibson T (1995) Bacterial infections: the arthritis of leprosy. Baillieres Clin Rheumatol 9:179–191PubMed Gibson T (1995) Bacterial infections: the arthritis of leprosy. Baillieres Clin Rheumatol 9:179–191PubMed
5.
go back to reference Waters MF (1974) Treatment of reactions in leprosy. Lepr Rev 45:337–341PubMed Waters MF (1974) Treatment of reactions in leprosy. Lepr Rev 45:337–341PubMed
6.
go back to reference Albert DA, Weisman MH, Kaplan R (1980) The rheumatic manifestations of leprosy (Hansen disease). Medicine (Baltimore) 59:442–448 Albert DA, Weisman MH, Kaplan R (1980) The rheumatic manifestations of leprosy (Hansen disease). Medicine (Baltimore) 59:442–448
7.
go back to reference Cossermelli-Messina W, Festa NC, Cossermelli W (1998) Articular inflammatory manifestations in patients with different forms of leprosy. J Rheumatol 25:111–119PubMed Cossermelli-Messina W, Festa NC, Cossermelli W (1998) Articular inflammatory manifestations in patients with different forms of leprosy. J Rheumatol 25:111–119PubMed
8.
go back to reference Atkin SL, Welbury RR, Stanfield E, Beavis D, Iwais B, Dick WC (1987) Clinical and laboratory studies of inflammatory polyarthritis in patients with leprosy in Papua New Guinea. Ann Rheum Dis 46:688–690PubMed Atkin SL, Welbury RR, Stanfield E, Beavis D, Iwais B, Dick WC (1987) Clinical and laboratory studies of inflammatory polyarthritis in patients with leprosy in Papua New Guinea. Ann Rheum Dis 46:688–690PubMed
9.
go back to reference Gibson T, Ahsan Q, Hussein K (1994) Arthritis of leprosy. Br J Rheumatol 33:963–966PubMed Gibson T, Ahsan Q, Hussein K (1994) Arthritis of leprosy. Br J Rheumatol 33:963–966PubMed
10.
go back to reference Lockwood DNJ (2004) Leprosy. In: Burns T, Breathnach S, Cox N, Griffiths C (eds) Rook’s textbook of dermatology. Blackwell, Oxford, pp 29.1–29.21 Lockwood DNJ (2004) Leprosy. In: Burns T, Breathnach S, Cox N, Griffiths C (eds) Rook’s textbook of dermatology. Blackwell, Oxford, pp 29.1–29.21
11.
go back to reference Harboe M (1988) Rheumatoid factors in leprosy and parasitic diseases. Scand J Rheumatol Suppl 75:309–313PubMed Harboe M (1988) Rheumatoid factors in leprosy and parasitic diseases. Scand J Rheumatol Suppl 75:309–313PubMed
12.
go back to reference Lele RD, Sainani GS, Sharma KD (1965) Leprosy presenting as rheumatoid arthritis. J Assoc Physicians India 13:275–277PubMed Lele RD, Sainani GS, Sharma KD (1965) Leprosy presenting as rheumatoid arthritis. J Assoc Physicians India 13:275–277PubMed
13.
go back to reference Iveson JM, McDougall AC, Leathem AJ, Harris HJ (1975) Lepromatous leprosy presenting with polyarthritis, myositis, and immune-complex glomerulonephritis. Br Med J 3:619–621PubMed Iveson JM, McDougall AC, Leathem AJ, Harris HJ (1975) Lepromatous leprosy presenting with polyarthritis, myositis, and immune-complex glomerulonephritis. Br Med J 3:619–621PubMed
14.
go back to reference Karat AB, Karat S, Job CK, Furness MA (1967) Acute exudative arthritis in leprosy—rheumatoid-arthritis-like syndrome in association with erythema nodosum leprosum. Br Med J 3:770–772PubMed Karat AB, Karat S, Job CK, Furness MA (1967) Acute exudative arthritis in leprosy—rheumatoid-arthritis-like syndrome in association with erythema nodosum leprosum. Br Med J 3:770–772PubMed
15.
go back to reference Hsu S, Le EH, Khoshevis MR (2001) Differential diagnosis of annular lesions. Am Fam Physician 64:289–296PubMed Hsu S, Le EH, Khoshevis MR (2001) Differential diagnosis of annular lesions. Am Fam Physician 64:289–296PubMed
Metadata
Title
First report of leprosy presenting as acute polyarthritis in the setting of type I downgrading lepra reaction
Authors
Haneen Adel Al-Raqum
S. S. Uppal
Rana Abdul Rahman El Abdalghani
Ibrahim Lasheen
Publication date
01-02-2006
Publisher
Springer-Verlag
Published in
Clinical Rheumatology / Issue 1/2006
Print ISSN: 0770-3198
Electronic ISSN: 1434-9949
DOI
https://doi.org/10.1007/s10067-005-1147-0

Other articles of this Issue 1/2006

Clinical Rheumatology 1/2006 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine