01199nas a2200205   4500000000100000008004100001260003100042653002800073653003100101653002000132653002100152100001000173700001200183700001200195700001700207700001300224245015100237520058000388022002500968       2026                            d  c05/2026bSAGE Publications10aLeprosy, Multibacillary10aInflammatory polyarthritis10aEndemic disease10aNeuropathic feet1 aRai S1 aUppal H1 aAwale R1 aGunjiganvi M1 aSuruchi 00aDual arthropathy in previously treated multibacillary leprosy: Inflammatory polyarthritis with neuropathic ankle destruction in an endemic setting3 a<jats:p>A 51-year-old woman previously treated for multibacillary leprosy presented with polyarthritis of wrists, ankles and small joints of the hands, resembling rheumatoid arthritis. She had completed multidrug leprosy therapy in 2014 and had a previous history of erythema nodosum leprosum treated with corticosteroids. Slit-skin smear demonstrated acid-fast bacilli and skin biopsy confirmed granulomatous inflammation consistent with leprosy. She was treated with anti-inflammatory therapy and rehabilitation measures, resulting in gradual clinical improvement.</jats:p>  a0049-4755, 1758-1133