01265nas a2200277   4500000000100000008004100001260001600042653001000058653002600068653002800094653002800122653001100150653001200161653000900173653001600182100001600198700001500214700001400229700001400243700001500257700001500272245004300287300001000330490000700340520064000347       1983                            d  c1983 Feb 0310aAdult10aArthritis, Infectious10aArthropathy, Neurogenic10aDiagnosis, Differential10aHumans10aleprosy10aMale10aMiddle Aged1 aBonvoisin B1 aMartin J M1 aBouvier M1 aBocquet B1 aBoulliat J1 aDuivon J P00a[Articular manifestations in leprosy].  a302-50 v593 a<p>Articular manifestations occur in approximately 1% of cases of leprosy, sometimes at onset. They consist in a highly inflammatory polyarthritis, fairly similar to that seen in rheumatoid polyarthritis. They often herald a reactive leprous exacerbation and are dependent upon immunologic disturbances in brittle leprosy (mainly lepromatous). Joint pain should be differentiated from neurologic pain resulting from peripheral neuropathy which is often concomitant. Leprosy should be considered among the causes of polyarthritis, especially in immigrants, but also in residents who have travelled to areas where leprosy is endemic.</p>