Lepromatous Leprosy and rheumatoid arthritis overlap or mimicry?
Vol. 27 No. 1 (2002), Estudos clínicos
Vol. 27 No. 1 (2002)

Lepromatous Leprosy and rheumatoid arthritis overlap or mimicry? sobreposição ou mimetismo?

Estudos clínicos
https://doi.org/10.47878/hi.2002.v27.36256
Published 2002-06-30
Roberta Pernambuco
Médica reumatologista - Instituto Lauro de Souza Lima - Secretaria de Estado da Saúde.
José Carlos de Almeida Pernambuco
Médico reumatologista - Instituto Lauro de Souza Lima - Secretaria de Estado da Saúde.
Somei Ura
Médico dermatologista e Pesquisador científico - Instituto Lauro de Souza Lima - Secretaria de Estado da Saúde. - biblioteca@ilsl.br
Raul Negrão Fleury Raul Negrão Fleury
Médico anátomo patologista e pesquisador científico - Instituto Lauro de Souza Lima - Secretaria de Estado da Saúde.
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Keywords

leprosy
rheumatoid arthritis
type II reaction

How to Cite

1.
Pernambuco R, Pernambuco JC de A, Ura S, Raul Negrão Fleury RNF. Lepromatous Leprosy and rheumatoid arthritis overlap or mimicry? sobreposição ou mimetismo?. Hansen. Int. [Internet]. 2002 Jun. 30 [cited 2024 Nov. 23];27(1):29-34. Available from: https://periodicos.saude.sp.gov.br/hansenologia/article/view/36256
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Abstract

A patient is reported who 10 years ago developed signs and symptoms of a symmetric arthritis which envolved progressively. Since that time she was diagnosed as having rheumatoid arthritis in several rheumatologic clinics. In February of 2002 she was seen in a private clinic by one of the authors, who suspected leprosy because she presented besides the joint lesions with diffuse infiltration and discrete nodules and papules on her extremities. She was referred to the Instituto Lauro de Souza Lima, the
diagnos i s wa s c onf i rmed and th e t r e a tme nt wi th multidrugtherapy for multibacillary patients was initiated. The authors discuss the possibilities of the patient having only leprosy or a combination of rheumatoid arthritis and leprosy.

https://doi.org/10.47878/hi.2002.v27.36256
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References

1. ARVELO, J.J. Deformidades de la mano em el enfermo de lepra. Rev. Venez. Sanid., v.36, p.61-63 1971.
3. CAMPOS, M. P. Sinovite hansênica. Mogi das Cruzes, 1977. Tese (Livre-Docência). Universidade de Mogi das Cruzes. Faculdade de Medicina.
5. COCHRANE, R.G. The history of leprosy and its spread throug the world. In: COCHRANE, R.G.; DAVEY, T.F. Leprosy in theory and practice. 2ed. Bristol: John Wright, 1964. p.1-12.
6. COSSERMELLI MESSINA, W.; FESTA NETO, C.; COSSERMELLI, W. Articular inflammatory manifestations in
patients with diferent forms of leprosy. J. Rheumatol., v.25, n.1, p.111-119, 1998.
7. DAVISON, A.R. Acute edema of hands and feet in leprosy. Int. J. Leprosy, v.29, p.29-33, 1961.
8. GIBSON, T.; AHSAN, Q.; HUSSEIN, K. Arthritis of leprosy. Brit. J. Rheumatol., v.33, n.10, p.963-6, 1994.
9. JOPLING, W.L. Manual da lepra. Rio de Janeiro: Atheneu, 1983.
10. KARAT, B. et al. Acute exudative arthritis in leprosy: rheumatoid-arthritis-like syndrome in association with erytema nodosum leprosum. Brit. Med. J., 3:770-2, 1967.
11. LOUIE, J.S. et al. Lepra cells in synovial fluid of a patient with erythema nodosum leprosum. New Engl. J. Med., v.289, p.1410-1411, 1973.
12. PATERSON, D.E.; JOB, C.K. Bone changes in leprosy. In: COCHRANE, R.G.; DAVEY, T.F. Leprosy in theory and
practice. 2ed. Bristol: John Wright, 1964. p.425-46.
13. PERNAMBUCO, J.C.A Artropatia inflamatória hansênica: estudo clínico-evolutivo, laboratorial e radiográfico. São Paulo, 1988. Tese (Mestre). Escola Paulista de Medicina).
14. PERNAMBUCO, J.C.A. Hanseníase: um modelo de colagenose. In: VERTZMAN, L.; De PAOLA, D. Colagenoses.
Rio de Janeiro: Epume, 1981.
13. PERNAMBUCO, J.C.A. Rheumatogische manifestationen der lepra. Therapeiwoche, v.33, p.5705-5721, 1983.
14. WATERS, R.R. The window on leprosy. Calcutta: Grandhi Memorial Foundation, 1978. p.124-79.
15. WEMAMBU, S.N. et al. Erythema nodosum leprosum a clinical manifestation of the Arthus phenomenon. Lancet, v.2, p.933-5, 1969.
16. YAMAMURA, M. et al. Cytokine patterns of immunologically mediated tissue damage. J. Immuno.l, v.149, v.4, p.1470-5, 1992.
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