title: [Leprosy revealed by oedema of the hands].
abstract: BACKGROUND
  We reported a case of lepromatous leprosy in a Tunisian woman revealed by a potentially misleading clinical picture involving isolated infiltration of the hands.
  
  
  METHODS
  A 37 year-old woman consulted in October 2000 for bilateral edema of the hands associated with paraesthesia that had been present for one month. Screening for Hansen's bacilli confirmed the diagnosis of multibacillary leprosy. Daily therapy with triple anti-leprosy treatment was initiated.
  
  
  CONCLUSIONS
  The occurrence of edema, which is classically described as a symptom of a reactional state, can occur during the course of leprosy. Where it is a presenting symptom, this unusual heralding sign can be a source of diagnostic error and delay.
authors.affiliation: Service de Dermatologie, Hôpital La Rabta, Tunis, Tunisie. faika@myway.com
authors.forename: F
authors.initials: F
authors.lastname: Cherif
authors.forename: W
authors.initials: W
authors.lastname: Daoud
authors.forename: A
authors.initials: A
authors.lastname: Masmoudi
authors.forename: C
authors.initials: C
authors.lastname: Fendri
authors.forename: A
authors.initials: A
authors.lastname: Ben Osman Dhahri
mesh_terms: D000328:Adult; D004487:Edema / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D006225:Hand; D006801:Humans; D007917:Leprostatic Agents / Q000627:therapeutic use; D015440:Leprosy, Lepromatous / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D007917:Leprostatic Agents