Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.17/2986
Título: Leprosy and Rheumatoid Arthritis: Consequence or Association?
Autor: Coelho Henriques, C
Lopéz, B
Mestre, T
Grima, B
Panarra, A
Riso, N
Palavras-chave: Antirheumatic Agents
Arthritis, Infectious
Arthritis, Rheumatoid
Diagnosis, Differential
Leprostatic Agents
Middle Aged
Data: 13-Ago-2012
Editora: BMJ Publishing Group
Citação: BMJ Case Rep. 2012 Aug 13;2012. pii: bcr1220115346.
Resumo: Leprosy or Hansen's disease is a chronic granulomatous infectious disease caused by Mycobacterium leprae with a high prevalence in some developing countries however, it is rarely seen in non-endemic regions. Arthritis has been described in all types of Hansen's disease. Chronic arthritis is known to exist even in paucibacillary forms, resolved or treated disease and in patients without reaction, suggesting a perpetuated inflammatory process. In these cases leprosy can mimic some autoimmune diseases such as rheumatoid arthritis. When a patient with a history of leprosy presents with a symmetric, distal, polyarthritis the diagnosis may not be linear. Possibly it is a rheumatoid-like leprous arthritis with M leprae acting as the trigger element for the chronic process or it is an overlap condition, with a concomitant rheumatoid arthritis? A case report of a patient with a chronic inflammatory arthritis with 10 years of evolution is presented. The differential diagnosis between leprous and rheumatoid arthritis is discussed.
Peer review: yes
URI: http://hdl.handle.net/10400.17/2986
DOI: 10.1136/bcr.12.2011.5346
Aparece nas colecções:DER - Artigos
MED - Artigos

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