Complications and Diagnostic Dilemma in Hansen's Arthritis: a Case Report
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2014, Vol 10, Issue 3
Abstract
Hansen’s disease caused by Mycobacterium leprae is generally revealed by cutaneous lesions often associated to nerve impairment. Diagnosis of the same becomes difficult in absence of the classic symptoms and is complicated when the disease presents itself solely by rheumatic manifestation. We describe a case of a 48 year old man, a recently diagnosed case of diabetes mellitus who presented with polyarthritis, morning stiffness and pitting oedema and was considered as a case of rheumatoid arthritis (RA) with remitting seronegative symmetrical synovitis with pitting oedema (RS3PE). Non-compliance with the treatment, presence of a thickened ulnar nerve after month of treatment followed by presence of acid-fast bacilli in the nerve biopsy lead to correct diagnosis of Hansen’s arthritis was made. We ecommend investigating the possibility of Hansen’s disease when treating a patient with rheumatological manifestations.
Authors and Affiliations
Anurag S. Lavekar , Tanuja P. Manohar
Keywords
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