01660nas a2200253 4500000000100000008004100001260001200042653001600054653000900070653002300079653001200102653003500114100001400149700001400163700001500177700001100192700001400203245010300217856009000320300001100410490000700421520096400428022001401392 2023 d c03/202310aarthropathy10aHand10aHansen’s disease10aleprosy10aproximal interphalangeal joint1 aElbayer A1 aIbrahim M1 aAlharami S1 aWani I1 aElhessy A00aSmall Finger Proximal Interphalangeal Joint Chronic Arthritis Secondary to Leprosy: A Case Report. uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10063427/pdf/cureus-0015-00000036915.pdf ae369150 v153 a

Leprosy (Hansen's disease) is a multisystem, chronic infectious disease that still exists. It is caused by Mycobacterium leprae. Musculoskeletal features are non-consistent and can lead to misdiagnosis and mistreatment. We report the case of a 23-year-old male with the right small finger (RSF) proximal interphalangeal (PIP) joint arthropathy related to leprosy. This was his first encounter with seeking medical advice regarding his condition. The patient was diagnosed and treated with surgical debridement, volar plate arthroplasty for the affected proximal interphalangeal joint, and the recommended multi-drug therapy regimen. The pathological effects of leprosy on the bones and joints have been attributed to several theories, with peripheral nerve neuropathy being the primary cause. Early detection of leprosy is crucial for effective management, preventing further disease transmission, and minimizing the risk of developing complications.

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