Lepromatous leprosy mimicking systemic lupus erithematosus: a case report

Medical Journal of Indonesia

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Field Value
 
Title Lepromatous leprosy mimicking systemic lupus erithematosus: a case report
 
Creator Kusumaningrum, Niken; Department of Dermatology and Venereology, Faculty of Medicine, Universitas Gadjah Mada, Dr. Sardjito Hospital, Yogyakarta
Purnamawati, Schandra; Department of Dermatology and Venereology, Faculty of Medicine, Universitas Gadjah Mada, Dr. Sardjito Hospital, Yogyakarta; aculty of Medicine, Universitas Jenderal Soedirman, Purwokerto
Winarni, Dwi Retno Adi; Department of Dermatology and Venereology, Faculty of Medicine, Universitas Gadjah Mada, Dr. Sardjito Hospital, Yogyakarta
Soebono, Hardyanto; Department of Dermatology and Venereology, Faculty of Medicine, Universitas Gadjah Mada, Dr. Sardjito Hospital, Yogyakarta
 
Subject lepromatous leprosy; systemic lupus erythematosus
 
Description The clinical manifestations of leprosy are highly variable, and the disease is notorious for being “a great imitator” of several other conditions. Leprosy may manifest with a variety of phenomena resembling those of autoimmune diseases. Herein, we report a 33-year-old male presenting with wounds on his left leg and hyperpigmented skin lesions all over his body. Six years earlier, the patient was diagnosed with systemic lupus erythematosus (SLE). However, therapy for SLE did not control his symptoms; instead, the patient developed features of leprosy, such as anesthetic skin lesions, nerve enlargement, and tenderness. Tests for antinuclear antibodies and anti-double stranded DNA antibodies were negative. Slit-skin smear showed a bacterial index of 6+ and morphological index of 10 %. Lupus band test results were negative. Histological findings were compatible with lepromatous leprosy. The clinical and serological similarities between leprosy and SLE may lead to erroneous diagnosis. Thus, clinicians should be aware of this characteristic for correct diagnosis.
 
Publisher Faculty of Medicine Universitas Indonesia
 
Contributor
 
Date 2019-05-08
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion

 
Format application/pdf
 
Identifier http://mji.ui.ac.id/journal/index.php/mji/article/view/1793
10.13181/mji.v28i1.1793
 
Source Medical Journal of Indonesia; Vol 28, No 1 (2019): March; 77-81
2252-8083
0853-1773
10.13181/mji.v28i1
 
Language eng
 
Relation http://mji.ui.ac.id/journal/index.php/mji/article/view/1793/1311
 
Rights Copyright (c) 2019 Schandra Purnamawati, Niken Kusumaningrum, Dwi Retno Adi Winarni, Hardyanto Soebono
http://creativecommons.org/licenses/by-nc/4.0
 

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