01075nas a2200337   4500000000100000008004100001260001300042653001000055653002600065653001200091653001000103653001800113653001100131653002500142653000900167653002500176653001300201653001300214653001400227100001400241700001400255700001300269700001200282700001200294700001500306245006400321300000900385490000700394520032200401022001400723       2009                            d  c2009 Jan10aAdult10aAnti-Bacterial Agents10aDapsone10aEdema10aHand Injuries10aHumans10aLeprosy, lepromatous10aMale10aMycobacterium leprae10aRifampin10aSyndrome10aSynovitis1 aLandais C1 aGraffin B1 aLeyral G1 aBoyé T1 aCarli P1 aCarsuzaa F00a[Lepromatous leprosy revealed by a swollen hands syndrome].  a55-60 v393 a<p>Osteoarticular pathology in leprosy is common and described at all stages, but rarely as the most evident clinical manifestation. We report a case of borderline lepromatous leprosy with initial and disabling hands edema. The swollen hands syndrome is probably due to chronic Mycobacterium leprae tenosynovitis.</p>  a0399-077X