00394nas a2200145   4500000000100000008004100001653001200042653001500054100001200069700001200081245012000093300001400213490000700227022001400234       2018                            d10aleprosy10aArthralgia1 aPawar M1 aZawar V00aSwollen hand joints, arthralgia, photosensitivity and generalized acquired cutis laxa-like presentation of leprosy.  a1026-10280 v16  a1610-0387