{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T11:01:05Z","timestamp":1788174065396,"version":"build-2803163510"},"reference-count":28,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2015,3,10]],"date-time":"2015-03-10T00:00:00Z","timestamp":1425945600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Lupus"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:p>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. Recognition of rheumatic manifestations in leprosy is important as they may be confused with SLE. A literature review is presented to encourage clinicians to consider leprosy as a differential diagnosis. Specifically in patients with unusual rheumatic manifestations and persistent skin lesions, and when neurological symptoms are present. Leprosy has not been eradicated, so misdiagnosis can be frequent. It is necessary to increase medical practitioner awareness in order start proper treatment.<\/jats:p>","DOI":"10.1177\/0961203315574557","type":"journal-article","created":{"date-parts":[[2015,3,11]],"date-time":"2015-03-11T20:02:04Z","timestamp":1426104124000},"page":"1095-1102","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":23,"title":["Multibacillary leprosy mimicking systemic lupus erythematosus: case report and literature review"],"prefix":"10.1177","volume":"24","author":[{"given":"G","family":"Horta-Baas","sequence":"first","affiliation":[{"name":"Servicio de Reumatolog\u00eda, Hospital General Regional 220, Instituto Mexicano del Seguro Social, Toluca, Estado de M\u00e9xico, M\u00e9xico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M F","family":"Hern\u00e1ndez-Cabrera","sequence":"additional","affiliation":[{"name":"Centro de Investigaci\u00f3n en Ciencias M\u00e9dicas, Universidad Aut\u00f3noma del Estado de M\u00e9xico, Toluca, Estado de M\u00e9xico, M\u00e9xico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L A","family":"Barile-Fabris","sequence":"additional","affiliation":[{"name":"Jefe de Servicio del Departamento de Reumatolog\u00eda, Hospital de Especialidades, Centro M\u00e9dico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Distrito Federal, M\u00e9xico."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"del S Romero-Figueroa","sequence":"additional","affiliation":[{"name":"Coordinaci\u00f3n de Investigaci\u00f3n en Salud, Delegaci\u00f3n Estado de M\u00e9xico Poniente, Instituto Mexicano del Seguro Social, Toluca, M\u00e9xico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Arenas-Guzm\u00e1n","sequence":"additional","affiliation":[{"name":"Dermat\u00f3logo y Mic\u00f3logo. 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