학술논문
An unusual case of tenosynovitis in Hansen's disease
Document Type
Clinical report
Author
Source
European Journal of Rheumatology. October 2022, Vol. 9 Issue 4, p212, 3 p.
Subject
Language
English
ISSN
2147-9720
Abstract
Introduction Leprosy may present with myriad of manifestations mimicking dermatological, medical, neurological, and rheumatological diseases. (1) This often causes diagnostic dilemma, leading to delay in institution of treatment. Rheumatological involvement [...]
Tenosynovitis is an infrequent presentation of Hansen's disease. It may occur during the natural course of disease or treatment as part of type 1 reaction or rarely may be the presenting complaint. We report a case of tenosynovitis of bilateral wrist joints who after being ineffectively treated by an orthopedician as well as rheumatologist for several months and was finally diagnosed as a case of Hansen's disease (borderline lepromatous) in type 1 reaction with excellent response to multidrug therapy and tapering doses of systemic steroids. Keywords: Hansen's disease, leprosy, rheumatological manifestations, tenosynovitis
Tenosynovitis is an infrequent presentation of Hansen's disease. It may occur during the natural course of disease or treatment as part of type 1 reaction or rarely may be the presenting complaint. We report a case of tenosynovitis of bilateral wrist joints who after being ineffectively treated by an orthopedician as well as rheumatologist for several months and was finally diagnosed as a case of Hansen's disease (borderline lepromatous) in type 1 reaction with excellent response to multidrug therapy and tapering doses of systemic steroids. Keywords: Hansen's disease, leprosy, rheumatological manifestations, tenosynovitis