@article{7481,
  keywords = {Alopecia, Chest Pain, Diagnosis, Differential, Emigration and Immigration, Female, Guyana, Humans, Hypesthesia, Leprosy, lepromatous, Middle Aged, Oral Ulcer, Rheumatic Diseases},
  author = {Flower C and Gaskin D and Marquez S},
  title = {A case of recurrent rash and leg numbness mimicking systemic rheumatic disease: the occurrence of leprosy in a nonendemic area.},
  abstract = {<p>Leprosy, a rare chronic granulomatous communicable disease caused by Mycobacterium leprae, is classically known to have cutaneous and neurologic sequelae. As a result of immigration, the disease, endemic in Brazil, India, Nepal, Madagascar, Myanmar, and Indonesia, has been recognized to be present in North America and the Caribbean. We describe a case of a woman presenting with a long history of a recurrent rash and leg numbness, initially diagnosed with systemic lupus, who was later proven to have lepromatous leprosy. It is a reminder that this underappreciated disease should still be considered in the differential diagnosis of skin rash and neuropathy, even in nonendemic regions.</p>},
  year = {2007},
  journal = {Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases},
  volume = {13},
  pages = {143-5},
  month = {2007 Jun},
  issn = {1076-1608},
  doi = {10.1097/RHU.0b013e318064e7a0},
  language = {eng},
}