Lepromatous leprosy or rheumatoid arthritis with leprosy? A challenging case

Bharathraj M Y, Chandrashekara S, Shivputra Ghanti, Devraj Kori, Ram Krishna
DOI: 10.15305/ijrci/v7i1/298

Abstract

Rheumatoid arthritis (RA) manifestations in leprosy are very common, but often undiagnosed. The present study discusses a challenging case having dilemma in concluding the diagnosis as lepromatous leprosy or RA with leprosy.


Citation

Bharathraj MY, Chandrashekara S, Ghanti S, Kori D, Krishna R. IJRCI. 2019;7(1):CS3. DOI: 10.15305/ijrci/v7i1/298

Keywords

Leprosy, RA, Synovitis

References

1. Gao L-N, Zhong B, Wang Y. Rheumatoid arthritis-like features in Hansen disease: A case report. Medicine. 2018 Jul;97(29):e11590.

2. Alam F, Emadi SA. Case of arthritis secondary to leprosy. Springer plus. 2014 Dec 15;3.

3. Shejpal A. Hansen’s Arthritis: An Overlooked Entity. Indian Journal of Clinical Practice, Vol. 24, No. 8, January 2014, 770-772.

4. National Leprosy Eradication Programme; Annual report 2016 - 2017

5. Messner RP. Arthritis due to tuberculosis, fungal infections, and parasites. Curr Opin Rheumatol. 1991 Aug;3(4):617–20.

6. Koopman WJ, editor. Arthritis and allied conditions: a textbook of rheumatology. 13th ed. Baltimore: Williams & Wilkins; 1997. 2 p.

7. Hartemann-Heurtier A, Van GH, Grimaldi A. The Charcot foot. Lancet. 2002 Nov 30;360(9347):1776–9

8. Gibson T, Ahsan Q, Hussein K. Arthritis of leprosy. Br J Rheumatol. 1994 Oct;33(10):963–6.

9. Wakhlu A, Sawlani KK, Himanshu D. Rheumatological manifestations of hansen’s disease. Indian Journal of Rheumatology. 2018 Jan 1;13(1):14.

10. PK S. A study of rheumatological manifestations of leprosy. Indian Journal of Dermatology, Venereology, and Leprology. 2004 Mar 1;70(2):76.

11. Hamoud, H. (2016). Leprotic Arthritis. Journal of Rheumatology and Arthritic Diseases, 1(2), pp.1-5.

12. Pandey A. Current perspectives on leprosy as a public health challenge in India. Research and Reports in Tropical Medicine.2015;43.

13. Haroon N, Agarwal V, Aggarwal A, Kumari N, Krishnani N, Misra R. Arthritis as presenting manifestation of pure neuritic leprosy--a rheumatologist’s dilemma. Rheumatology (Oxford). 2007 Apr;46(4):653–6.

14. de Andrade TCPC, Martins TY, Vieira BC, Santiago TM, Soares CT, Barreto JA. Lepromatous leprosy simulating rheumatoid arthritis - Report of a neglected disease. An Bras Dermatol. 2017;92(3):389–91.

15. Haroon N, Agarwal V, Aggarwal A, Kumari N, Krishnani N, Misra R. Arthritis as presenting manifestation of pure neuritic leprosy--a rheumatologist’s dilemma. Rheumatology (Oxford). 2007 Apr;46(4):653–6.