Lest We Miss Hansen Arthritis: Case Series of Combo Articular Manifestations; One of Acute Lepra Reaction with Chronic Arthritis, and Another of Swollen Feet and Hand Syndrome besides Acute Lepra with Chronic Arthritis

Hansen’s disease is an infectious granulomatous disease with classical cutaneous and neurological profile and varied musculoskeletal manifestations. Poor awareness and low specificity of symptoms lead to a delay in the diagnosis of a treatable disease, culminating in worsening morbidity. A rare case series of Hansen’s arthritis, showing complex, diverse, and rare combinations of musculoskeletal manifestations of acute lepra reaction over chronic arthritis, besides cutaneous and neurological manifestations, must be understood for early diagnosis and treatment to avoid debilitating complication