Leprosy with Atypical Skin Lesions Masquerading as Relapsing Polychondritis
Leprosy can present with a variety of clinical manifestations depending on the immune status of the individual. After dermatological and neurological involvement, rheumatic features specially various forms of arthritis are the third most common manifestation of the disease. We describe a unique case...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2016/7802423 |
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| author | Punit Pruthi Hariharan Munganda Amit Bangia Uma Rani Rajesh Budhiraja Swapnil Brajpuriya |
| author_facet | Punit Pruthi Hariharan Munganda Amit Bangia Uma Rani Rajesh Budhiraja Swapnil Brajpuriya |
| author_sort | Punit Pruthi |
| collection | DOAJ |
| description | Leprosy can present with a variety of clinical manifestations depending on the immune status of the individual. After dermatological and neurological involvement, rheumatic features specially various forms of arthritis are the third most common manifestation of the disease. We describe a unique case of a 22-year-old patient presenting with external ear involvement mimicking relapsing polychondritis along with inflammatory joint symptoms and skin lesions. Ear involvement in relapsing polychondritis characteristically is painful and spares the noncartilaginous ear lobules, in contrast to painless ear involvement in leprosy affecting the lobules as well. Histopathology confirmed the diagnosis, although the ear and skin lesions were not classical of leprosy. Such a presentation of leprosy closely mimicking relapsing polychondritis has not been described previously. Tissue diagnosis should always be attempted whenever possible in patients presenting with autoimmune features, so that inappropriate therapy with immunosuppressants is avoided. |
| format | Article |
| id | doaj-art-f622766ce8fd45ae99d7aa33ded8ef47 |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-f622766ce8fd45ae99d7aa33ded8ef472025-02-03T01:09:28ZengWileyCase Reports in Infectious Diseases2090-66252090-66332016-01-01201610.1155/2016/78024237802423Leprosy with Atypical Skin Lesions Masquerading as Relapsing PolychondritisPunit Pruthi0Hariharan Munganda1Amit Bangia2Uma Rani3Rajesh Budhiraja4Swapnil Brajpuriya5Department of Internal Medicine and Rheumatology, Asian Institute of Medical Sciences, Faridabad, IndiaDepartment of Internal Medicine and Rheumatology, Asian Institute of Medical Sciences, Faridabad, IndiaDepartment of Dermatology, Asian Institute of Medical Sciences, Faridabad, IndiaDepartment of Laboratory Services, Asian Institute of Medical Sciences, Faridabad, IndiaDepartment of Internal Medicine and Rheumatology, Asian Institute of Medical Sciences, Faridabad, IndiaDepartment of ENT, Asian Institute of Medical Sciences, Faridabad, IndiaLeprosy can present with a variety of clinical manifestations depending on the immune status of the individual. After dermatological and neurological involvement, rheumatic features specially various forms of arthritis are the third most common manifestation of the disease. We describe a unique case of a 22-year-old patient presenting with external ear involvement mimicking relapsing polychondritis along with inflammatory joint symptoms and skin lesions. Ear involvement in relapsing polychondritis characteristically is painful and spares the noncartilaginous ear lobules, in contrast to painless ear involvement in leprosy affecting the lobules as well. Histopathology confirmed the diagnosis, although the ear and skin lesions were not classical of leprosy. Such a presentation of leprosy closely mimicking relapsing polychondritis has not been described previously. Tissue diagnosis should always be attempted whenever possible in patients presenting with autoimmune features, so that inappropriate therapy with immunosuppressants is avoided.http://dx.doi.org/10.1155/2016/7802423 |
| spellingShingle | Punit Pruthi Hariharan Munganda Amit Bangia Uma Rani Rajesh Budhiraja Swapnil Brajpuriya Leprosy with Atypical Skin Lesions Masquerading as Relapsing Polychondritis Case Reports in Infectious Diseases |
| title | Leprosy with Atypical Skin Lesions Masquerading as Relapsing Polychondritis |
| title_full | Leprosy with Atypical Skin Lesions Masquerading as Relapsing Polychondritis |
| title_fullStr | Leprosy with Atypical Skin Lesions Masquerading as Relapsing Polychondritis |
| title_full_unstemmed | Leprosy with Atypical Skin Lesions Masquerading as Relapsing Polychondritis |
| title_short | Leprosy with Atypical Skin Lesions Masquerading as Relapsing Polychondritis |
| title_sort | leprosy with atypical skin lesions masquerading as relapsing polychondritis |
| url | http://dx.doi.org/10.1155/2016/7802423 |
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