Artigo Acesso aberto Produção Nacional Revisado por pares

Type 2 leprosy reaction presenting as a monoarthritis post multidrug therapy

2022; Elsevier BV; Volume: 27; Linguagem: Inglês

10.1016/j.idcr.2022.e01386

ISSN

2214-2509

Autores

Isabela Maria Bernardes Goulart, Marcela Araújo de Oliveira Santana, Willian Vargas Tenório da Costa, Matthew Martin Pavelka, Bruno de Carvalho Dornelas,

Tópico(s)

Mycobacterium research and diagnosis

Resumo

Type 2 leprosy reaction, or erythema nodosum leprosum (ENL), involves a complex interaction between the host's immune system and Mycobacterium leprae. It may occur before, during, or after treatment and have a variable clinical presentation involving different body systems, such as skin, osteoarticular, kidneys, and others. Thus, the differential diagnosis, depending on its clinical presentation, can be broad and challenging. The authors report a case of a severe monoarthritis during a type 2 reaction after the multidrug therapy (MDT) was discharged and the investigation of the differential diagnoses.

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