01058nas a2200157   4500000000100000008004100001100001400042700001700056700001400073700001600087700001500103245007600118490000700194520068600201022001300887       2019                            d1 aPosener S1 aHankiewicz K1 aJachiet M1 aMaisonobe T1 aBroucker T00a[Autochthonous leprosy exists in France: A diagnosis not to be missed] 0 v103 a<p>A 40-year-old man, of Malian descent, born in France, presented with an urticarial rash, a positive antinuclear antibody titer, positive lupus anticoagulant and histological features consistent with systemic lupus erythematosus. Following treatment with systemic corticosteroids, the lesions resolved leaving hypopigmented plaques which were insensible to pain eventually. He subsequently developed a compressive ulnar mononeuropathy which insidiously evolved into a severe sensory and motor polyneuropathy with trophic skin changes. A nerve biopsy was indicative of borderline tuberculoïd leprosy. Treatment with multidrug therapy stopped the progression of the disease.</p>
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