01191nas a2200289   4500000000100000008004100001260004400042653003000086653001200116653001300128653001300141653002400154653001100178653002400189653002500213653000900238653001300247653001200260100001400272700001600286245005500302856006500357300001000422490000600432520044900438022001400887       2026                            d  c08/2026bAmerican College of Physicians10aErythema Nodosum Leprosum10aUveitis10aSerology10aStaining10aDiagnostic medicine10aBiopsy10aInfectious diseases10aSubcutaneous nodules10aSkin10aErythema10aLeprosy1 aFarhoud N1 aBhadbhade P00aLepromatous Leprosy With Erythema Nodosum Leprosum  uhttps://www.acpjournals.org/doi/epdf/10.7326/aimcc.2026.0298  a1 - 20 v53 a<p>Leprosy remains an important mimicker of autoimmune and inflammatory disease, particularly in nonendemic settings. A 30-year-old man from Micronesia presented with synovitis, subcutaneous nodules, and ocular inflammation, with negative rheumatologic serologies. Biopsy findings confirmed erythema nodosum leprosum. This case highlights the overlap between infectious and rheumatologic presentations where delayed recognition can occur.</p>
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