01324nas a2200229   4500000000100000008004100001260001300042653001200055653001400067653003600081100001900117700001800136700001900154700001600173245008400189856007900273300001000352490000700362050001900369520069200388022001401080       2014                            d  c2014 Apr10aleprosy10aArthritis10aErythema nodosum leprosum (ENL)1 aFernandes TRMO1 aKorinfskin JP1 aEspíndola MMM1 aCorrêa LMO00aArthritis and diagnosis of leprosy: a case report and review of the literature.  uhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4008066/pdf/abd-89-02-0323.pdf  a323-50 v89  aFERNANDES 20143 aLeprosy is clinically characterized by involvement of peripheral nerves and skin. The immunological profile of the individual defines the diversity of clinical manifestations, from skin disorders to systemic manifestations, especially the articulation ones, common in multibacillary forms, which may mimic collagen diseases and often posing diagnostic difficulties in endemic areas. This is a case report of asymmetric polyarthritis of small and large articulations associated with skin lesions which had been treated by a rheumatologist for 2 years with initial clinical diagnosis of rheumatoid arthritis, and later, with the appearance of skin lesions, of systemic lupus erythematosus.  a1806-4841