01229nas a2200289   4500000000100000008004100001260001300042653002900055653001500084653001000099653001100109653002300120653002800143653000900171653001600180653001700196100001400213700001900227700001400246700001500260700001100275245006700286300000900353490000700362520055600369022001400925       2012                            d  c2012 Apr10aAnti-Inflammatory Agents10aArthralgia10aFever10aHumans10aLeprostatic Agents10aLeprosy, Multibacillary10aMale10aMiddle Aged10aPrednisolone1 aVinod K V1 aChandramohan R1 aDutta T K1 aRajesh N G1 aBasu D00aType 2 lepra reaction as a cause of pyrexia of unknown origin.  a70-20 v603 a<p>Leprosy, a commonly encountered disease, can rarely present as a reactional state de novo with fever as the main presenting feature. Here we describe an uncommon presentation of leprosy [with type 2 lepra reaction] as pyrexia of unknown origin with prominent rheumatologic manifestations [acute polyarthritis], renal involvement and generalized lymphadenopathy with rare presentation of type 2 lepra reaction without the classic skin lesions of erythema nodosum leprosum, occurring in a treatment naive patient without prior history of leprosy.</p>  a0004-5772