title: Type 2 lepra reaction as a cause of pyrexia of unknown origin.
abstract: Leprosy, a commonly encountered disease, can rarely present as a reactional state de novo with fever as the main presenting feature. Here we describe an uncommon presentation of leprosy [with type 2 lepra reaction] as pyrexia of unknown origin with prominent rheumatologic manifestations [acute polyarthritis], renal involvement and generalized lymphadenopathy with rare presentation of type 2 lepra reaction without the classic skin lesions of erythema nodosum leprosum, occurring in a treatment naive patient without prior history of leprosy.
authors.affiliation: Dept. of General Medicine, JIPMER, Dhanvantarinagar, Puducherry-605006.
authors.forename: K V
authors.initials: KV
authors.lastname: Vinod
authors.forename: R
authors.initials: R
authors.lastname: Chandramohan
authors.forename: T K
authors.initials: TK
authors.lastname: Dutta
authors.forename: N G
authors.initials: NG
authors.lastname: Rajesh
authors.forename: Debdatta
authors.initials: D
authors.lastname: Basu
mesh_terms: D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D018771:Arthralgia / Q000188:drug therapy / Q000382:microbiology; D005334:Fever / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D007917:Leprostatic Agents / Q000627:therapeutic use; D056006:Leprosy, Multibacillary / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D011239:Prednisolone / Q000627:therapeutic use
chemical_list: D000893:Anti-Inflammatory Agents; D007917:Leprostatic Agents; D011239:Prednisolone