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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 10, Issue 3, April 2014 pp 514-516

Case Report

Complications and Diagnostic Dilemma in Hansen's Arthritis: a Case Report


Anurag S. Lavekar1, Tanuja P. Manohar2

1Assistant Professor, Department of Medicine Shankarrao Chavan Govt Medical College, Nanded, Maharashtra, INDIA.

2Associate Professor, Department of Medicine, NKP Salwe Institute of Medical Sciences, Nagpur, Maharashtra, INDIA.

Academic Editor : Dr. Aher K.R.



Hansen’s disease caused by Mycobacterium leprae is generally revealed by cutaneous lesions often associated to nerve impairment. Diagnosis of the same becomes difficult in absence of the classic symptoms and is complicated when the disease presents itself solely by rheumatic manifestation. We describe a case of a 48 year old man, a recently diagnosed case of diabetes mellitus who presented with polyarthritis, morning stiffness and pitting oedema and was considered as a case of rheumatoid arthritis (RA) with remitting seronegative symmetrical synovitis with pitting oedema (RS3PE). Non-compliance with the treatment, presence of a thickened ulnar nerve after month of treatment followed by presence of acid-fast bacilli in the nerve biopsy lead to correct diagnosis of Hansen’s arthritis was made. We ecommend investigating the possibility of Hansen’s disease when treating a patient with rheumatological manifestations.