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leprosy and arthritis

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https://www.readbyqxmd.com/read/27859670/leprosy-reactions-in-post-elimination-stage-the-bangladesh-experience
#1
Mohammad Rafiqul Mowla, Shamim Ara, Afm Mizanur Rahman, Sanai Prue Tripura, Sujat Paul
BACKGROUND: Leprosy reactions are immunologically mediated conditions and a major cause of disability before, during and after multidrug therapy. Little data has been published on the epidemiology of leprosy reactions in Bangladesh. OBJECTIVES: To describe the pattern and prevalence of leprosy reactions in the post elimination stage. METHODS: A descriptive retrospective cross-sectional study was carried out in Chittagong Medical College Hospital using the registered records of patients the periods between 2004 and 2013...
November 15, 2016: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/27693176/leprosy-simulating-systemic-sclerosis-a-case-report
#2
Bruna Burko Rocha Chu, Giorgina Falcão Brandão Côrtes Gobbo, Rafaela Copês, Glênio Gutjahr, Erick Cavalcanti Cossa, Eduardo Dos Santos Paiva
Leprosy is a chronic infectious disease with a wide spectrum of clinical manifestations. Musculoskeletal impairment is the third most frequent clinical manifestation, the most common being arthritis. Cases misdiagnosed as lupus erythematosus, vasculitis, rheumatoid arthritis, and systemic sclerosis have already been described. We report a case of leprosy with skin thickening, distal phalanx resorption and facial telangiectasia, simulating systemic sclerosis. Due to a considerable prevalence in Brazil, and also considering the deformities that can be caused by a delay in diagnosis and treatment, leprosy should be put forward by the rheumatologist as a diagnostic hypothesis in patients with musculoskeletal involvement...
September 17, 2016: Revista Brasileira de Reumatologia
https://www.readbyqxmd.com/read/27516029/the-value-of-histopathological-diagnosis-in-the-elderly-patients-with-granulomatous-dermatoses-case-series
#3
Mihail Alexandru Badea, Corneliu Florin Buicu, Anca Ileana Sin, Ovidiu Simion Cotoi, Iudita Maria Badea, Andreea Luciana Chiotoroiu, Silviu Horia Morariu
Granulomatous inflammations are a particular type of chronic septic or aseptic inflammation, in which infectious or non-infectious agents are difficult to eliminate by the immune system. These are type IV hypersensitivity reactions mediated by pre-sensitized T-lymphocytes cells CD4+ and CD8+ lymphocytes. Disorders included in this category are: tuberculosis, leprosy, syphilis, sarcoidosis, type I diabetes, multiple sclerosis, Crohn's disease and rheumatoid arthritis. At cutaneous level, this pattern of granulomatous reaction is characterized by a chronic inflammation with formation of granulomas consisting of a variable number of histiocytes, multinucleated giant cells and lymphocytes...
2016: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
https://www.readbyqxmd.com/read/27478939/c13orf31-famin-is-a-central-regulator-of-immunometabolic-function
#4
M Zaeem Cader, Katharina Boroviak, Qifeng Zhang, Ghazaleh Assadi, Sarah L Kempster, Gavin W Sewell, Svetlana Saveljeva, Jonathan W Ashcroft, Simon Clare, Subhankar Mukhopadhyay, Karen P Brown, Markus Tschurtschenthaler, Tim Raine, Brendan Doe, Edwin R Chilvers, Jules L Griffin, Nicole C Kaneider, R Andres Floto, Mauro D'Amato, Allan Bradley, Michael J O Wakelam, Gordon Dougan, Arthur Kaser
Single-nucleotide variations in C13orf31 (LACC1) that encode p.C284R and p.I254V in a protein of unknown function (called 'FAMIN' here) are associated with increased risk for systemic juvenile idiopathic arthritis, leprosy and Crohn's disease. Here we set out to identify the biological mechanism affected by these coding variations. FAMIN formed a complex with fatty acid synthase (FASN) on peroxisomes and promoted flux through de novo lipogenesis to concomitantly drive high levels of fatty-acid oxidation (FAO) and glycolysis and, consequently, ATP regeneration...
September 2016: Nature Immunology
https://www.readbyqxmd.com/read/27464771/leprosy-masquerading-as-systemic-rheumatic-diseases
#5
Hala El-Gendy, Rasmia M El-Gohary, Kyrillus S Shohdy, Gaafar Ragab
Rheumatologic manifestations not only are encountered in leprosy but also can be the first and even the sole presenting manifestation. The hallmark of leprosy is skin and peripheral nerve affection; however, it can affect a wide range of other organs, with the joints being the commonest. We have searched PubMed with the key words leprosy, arthritis, vasculitis, rheumatic diseases, and autoantibodies in a proper combination. Relevant studies were retrieved from scanning of their abstracts. The relevant references provided in these articles were also selected and reviewed...
August 2016: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/27395832/hansens-chronic-polyarthritis-in-a-child
#6
Ananya Das, Rakesh Mondal, Kaushani Chatterjee, Dona Banerjee
BACKGROUND: Musculoskeletal manifestations of leprosy are often underdiagnosed and under-reported. CASE CHARACTERISTICS: An 11-year old girl with leprosy presented with deforming symmetric polyarthritis with raised inflammatory parameters and erosion on imaging. OBSERVATION: The patient was diagnosed to have Hansens chronic polyarthritis and treatment started with non-steroidal anti inflammatory drugs and methotrexate. MESSAGE: Hansen chronic polyarthritis is a rare differential of juvenile chronic arthritis in children...
August 8, 2016: Indian Pediatrics
https://www.readbyqxmd.com/read/27098602/lacc1-polymorphisms-in-inflammatory-bowel-disease-and-juvenile-idiopathic-arthritis
#7
G Assadi, R Saleh, F Hadizadeh, L Vesterlund, F Bonfiglio, J Halfvarson, L Törkvist, A S Eriksson, H E Harris, E Sundberg, M D'Amato
The function of the Laccase domain-containing 1 (LACC1) gene is unknown, but genetic variation at this locus has been reported to consistently affect the risk of Crohn's disease (CD) and leprosy. Recently, a LACC1 missense mutation was found in patients suffering from monogenic forms of CD, but also systemic juvenile idiopathic arthritis. We tested the hypothesis that LACC1 single nucleotide polymorphisms (SNPs), in addition to CD, are associated with juvenile idiopathic arthritis (JIA, non-systemic), and another major form of inflammatory bowel disease, ulcerative colitis (UC)...
June 2016: Genes and Immunity
https://www.readbyqxmd.com/read/27008827/-some-case-reports-which-suggest-correlation-between-biologics-and-leprosy-mini-symposium-on-problems-on-leprosy
#8
Yutaka Ishida
Biologics are relatively new drugs developed through modern monoclonal antibody techniques and became more familiar to some disease treatments such as Rheumatoid arthritis, psoriasis, ankylosing spondylitis, ulcerative colitis, malignant lymphoma, SLE and lupus nephritis. Some case reports shows development of leprosy during/after biolo- gics treatment and success treatment of ENL with biologics. Collection of reports was done through web search by using document retrieval engine such as Pub-med and ProQuest...
January 2016: Japanese Journal of Leprosy: Official Organ of the Japanese Leprosy Association
https://www.readbyqxmd.com/read/26964436/bullous-erythema-nodosum-leprosum-masquerading-as-systemic-onset-juvenile-idiopathic-arthritis-a-case-report
#9
Swetalina Pradhan, Bibhu Prasad Nayak, Tanmay Padhi, Madhusmita Sethy
No abstract text is available yet for this article.
December 2015: Leprosy Review
https://www.readbyqxmd.com/read/26805555/integrative-analyses-of-leprosy-susceptibility-genes-indicate-a-common-autoimmune-profile
#10
Deng-Feng Zhang, Dong Wang, Yu-Ye Li, Yong-Gang Yao
BACKGROUND: Leprosy is an ancient chronic infection in the skin and peripheral nerves caused by Mycobacterium leprae. The development of leprosy depends on genetic background and the immune status of the host. However, there is no systematic view focusing on the biological pathways, interaction networks and overall expression pattern of leprosy-related immune and genetic factors. OBJECTIVES: To identify the hub genes in the center of leprosy genetic network and to provide an insight into immune and genetic factors contributing to leprosy...
April 2016: Journal of Dermatological Science
https://www.readbyqxmd.com/read/26535712/nlrp3-rs35829419-polymorphism-is-associated-with-increased-susceptibility-to-multiple-diseases-in-humans
#11
Q Zhang, H W Fan, J Z Zhang, Y M Wang, H J Xing
Using a meta-analysis framework, we investigated the association between the NLRP3 rs35829419 polymorphism and increased susceptibility to diverse diseases in humans. Relevant published studies were identified through a comprehensive and systematic electronic search, using the following scientific literature databases: Science Citation Index, the Cochrane Library, PubMed, Embase, CINAHL, Current Contents Index, Chinese Biomedical, the Chinese Journal Full-Text, and the Weipu Journal. Statistical analysis of data extracted from the selected high quality studies was performed using the Version 12...
October 30, 2015: Genetics and Molecular Research: GMR
https://www.readbyqxmd.com/read/26351858/enlist-1-an-international-multi-centre-cross-sectional-study-of-the-clinical-features-of-erythema-nodosum-leprosum
#12
MULTICENTER STUDY
Stephen L Walker, Marivic Balagon, Joydeepa Darlong, Shimelis N Doni, Deanna A Hagge, Vikas Halwai, Annamma John, Saba M Lambert, Armi Maghanoy, Jose A C Nery, Kapil D Neupane, Peter G Nicholls, Vivek V Pai, Pawan Parajuli, Anna M Sales, Euzenir Sarno, Mahesh Shah, Digafe Tsegaye, Diana N J Lockwood
Erythema nodosum leprosum (ENL) is a severe multisystem immune mediated complication of borderline lepromatous leprosy and lepromatous leprosy. ENL is associated with skin lesions, neuritis, arthritis, dactylitis, eye inflammation, osteitis, orchitis, lymphadenitis and nephritis. The treatment of ENL requires immunosuppression, which is often required for prolonged periods of time and may lead to serious adverse effects. ENL and its treatment is associated with increased mortality and economic hardship. Improved, evidence-based treatments for ENL are needed; however, defining the severity of ENL and outcome measures for treatment studies is difficult because of the multiple organ systems involved...
2015: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/26250118/evaluation-of-rheumatoid-factor-and-anti-citrullinated-peptide-antibodies-in-relation-to-rheumatological-manifestations-in-patients-with-leprosy-from-southern-brazil
#13
Carla Fontoura Dionello, Shirley Ramos Rosa Utiyama, Sebastião Cézar Radominski, Ewalda Stahlke, Servio Tulio Stinghen, Iara Jose de Messias-Reason
BACKGROUND: Leprosy patients may present several osteoarticular complaints, which require further evaluation of inflammatory diseases, such as rheumatoid arthritis (RA). Therefore, an adequate clinical assessment in addition to testing for rheumatoid factors (RF) and anticyclic citrullinated peptide antibodies (anti-CCP), can be useful in order to establish the correct diagnosis. METHOD: In this study, the relation of RF and anti-CCP with rheumatological manifestations was evaluated in 97 leprosy patients from Southern Brazil...
August 6, 2015: International Journal of Rheumatic Diseases
https://www.readbyqxmd.com/read/26151758/genomic-modulators-of-gene-expression-in-human-neutrophils
#14
Vivek Naranbhai, Benjamin P Fairfax, Seiko Makino, Peter Humburg, Daniel Wong, Esther Ng, Adrian V S Hill, Julian C Knight
Neutrophils form the most abundant leukocyte subset and are central to many disease processes. Technical challenges in transcriptomic profiling have prohibited genomic approaches to date. Here we map expression quantitative trait loci (eQTL) in peripheral blood CD16+ neutrophils from 101 healthy European adults. We identify cis-eQTL for 3281 neutrophil-expressed genes including many implicated in neutrophil function, with 450 of these not previously observed in myeloid or lymphoid cells. Paired comparison with monocyte eQTL demonstrates nuanced conditioning of genetic regulation of gene expression by cellular context, which relates to cell-type-specific DNA methylation and histone modifications...
July 7, 2015: Nature Communications
https://www.readbyqxmd.com/read/26144576/health-related-quality-of-life-evaluated-by-pediatric-quality-of-life-inventory-4-0-in-pediatric-leprosy-patients-with-musculoskeletal-manifestations
#15
Luciana Neder, Marlon van Weelden, Gabriela Ribeiro Viola, Daniela Mencaroni Lourenço, Claudio A Len, Clovis A Silva
OBJECTIVE: To evaluate the health-related quality of life (HRQL) in pediatric leprosy patients. METHODS: A cross-sectional study included 47 leprosy patients and 45 healthy subjects. The HRQL was measured by Pediatric Quality of Life Inventory 4.0 (PedsQL 4.0), and evaluated physical, emotional, social and school domains. The leprosy patients were classified by Ridley and Jopling classification criteria and assessed according to clinical musculoskeletal manifestations, laboratory and radiographic examinations...
September 2015: Revista Brasileira de Reumatologia
https://www.readbyqxmd.com/read/26034700/case-of-arthritis-secondary-to-leprosy
#16
Fiaz Alam, Samar Al Emadi
INTRODUCTION: Leprosy is a chronic granulomatous infectious disease, which is caused by Mycobacterium leprae. High numbers of people are still affected by this disease in some of the developing countries however, it is rarely seen in non-endemic regions. Cutaneous and neurological manifestations are the common and classical presentations of leprosy. Musculoskeletal involvement is the third most common manifestation but is less frequently reported. Joint involvement can present as acute symmetrical polyarthritis or chronic polyarthritis resembling rheumatoid arthritis...
2014: SpringerPlus
https://www.readbyqxmd.com/read/26017241/mycobacterium-haemophilum-infection-with-prominent-facial-manifestation-mimicking-leprosy
#17
Kentaro Ishii, Norihisa Ishii, Kazue Nakanaga, Kazuaki Nakano, Ikuo Saito, Akihiko Asahina
Mycobacterium haemophilum is a slow-growing non-tuberculous mycobacterium that is rarely known to cause human skin infection, particularly in immunocompromised patients. We recently experienced a 69-year-old Japanese woman with this infection who had been under immunosuppressive treatment for recalcitrant rheumatoid arthritis. The patient showed disseminated erythematous plaques and subcutaneous nodules on the face and extremities, and interestingly, the face manifested with a striking "facies leontina" appearance...
October 2015: Journal of Dermatology
https://www.readbyqxmd.com/read/25942660/leprosy-masquerading-as-rheumatoid-arthritis
#18
EDITORIAL
Tina Rendini, William Levis
No abstract text is available yet for this article.
May 2015: Journal of Drugs in Dermatology: JDD
https://www.readbyqxmd.com/read/25761657/multibacillary-leprosy-mimicking-systemic-lupus-erythematosus-case-report-and-literature-review
#19
REVIEW
G Horta-Baas, M F Hernández-Cabrera, L A Barile-Fabris, M del S Romero-Figueroa, R Arenas-Guzmán
Leprosy is an infectious chronic disease with a wide range of clinical and serological manifestations. We report a case of a woman presenting with a malar rash, painless oral ulcers, photosensitivity, arthritis, positive antinuclear antibodies test and leuko-lymphopenia. Our case illustrates an unusual presentation of leprosy initially diagnosed as systemic lupus erythematosus (SLE). After the confirmation of multibacillary leprosy and multidrug therapy recommended by the World Health Organization, a good clinical response was observed...
September 2015: Lupus
https://www.readbyqxmd.com/read/25431725/leprosy-mimicking-common-rheumatologic-entities-a-trial-for-the-clinician-in-the-era-of-biologics
#20
Deepak Rath, Shrinath Bhargava, Bijit Kumar Kundu
Rheumatoid arthritis and seronegative spondyloarthritis, which make up the lion's share of cases attending a rheumatology clinic, are relatively easy to diagnose. However, when an entity of infective aetiology like leprosy known to be a great mimic of different autoimmune conditions presents with features similar to these, the possibility of it being diagnosed at the outset is very slim indeed. The ease with which the diagnosis of leprosy can be missed assumes sinister proportions as the use of disease modifying agents can have deleterious effects in these patients...
2014: Case Reports in Rheumatology
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