{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T09:12:57Z","timestamp":1764493977912},"reference-count":31,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,12,6]]},"abstract":"<jats:p>Hansen\u2019s Disease (HD) is a rare, chronic granulomatous infection of the skin and peripheral nerves caused by the noncultivable organism <jats:italic>Mycobacterium leprae<\/jats:italic>. Arthritis is the third most common symptom of HD. Subjects with both confirmed HD on skin biopsy and chronic arthritis were identified at the National Hansen\u2019s Disease Program (NHDP). We conducted a series of medical chart reviews and extracted and logged personally deidentified data into a database and carried out descriptive analyses. Eighteen of 261 subjects presented to the NDHP with both HD and chronic arthritis between 2001 and 2015. Among these, 16 were male, 16 were white, and 15 were residents of Louisiana. The median age at diagnosis of HD was 67 years. Ten of these subjects were diagnosed with borderline lepromatous leprosy, seven were diagnosed with lepromatous, and one was diagnosed with borderline tuberculoid leprosy. Patients were symptomatic with arthritis for a median of 5.3 years before HD diagnosis. Sixty-two percent of patients (11) were diagnosed with rheumatoid arthritis (RA) before HD diagnosis, and 10 of which were seronegative RA. Hands, feet, wrists, and elbows were most commonly reported as affected joints. Over half of the patients (61%) had completed HD multidrug therapy at the time of review, and 73% of these subjects had persistent joint pain requiring steroids or methotrexate for symptomatic control. Chronic arthritis in HD patients is present in a series of US-acquired cases of HD. Arthritis did not resolve with successful treatment of HD in most cases.<\/jats:p>","DOI":"10.4269\/ajtmh.17-0197","type":"journal-article","created":{"date-parts":[[2017,10,24]],"date-time":"2017-10-24T07:00:33Z","timestamp":1508828433000},"page":"1726-1730","source":"Crossref","is-referenced-by-count":9,"title":["Hansen\u2019s Disease and Rheumatoid Arthritis Crossover of Clinical Symptoms: A Case Series of 18 Patients in the United States"],"prefix":"10.4269","volume":"97","author":[{"given":"Sarah M.","family":"Labuda","sequence":"first","affiliation":[{"name":"Tulane University School of Medicine, New Orleans, Louisiana;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John S.","family":"Schieffelin","sequence":"additional","affiliation":[{"name":"Tulane University School of Medicine, New Orleans, Louisiana;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey G.","family":"Shaffer","sequence":"additional","affiliation":[{"name":"Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara M.","family":"Stryjewska","sequence":"additional","affiliation":[{"name":"National Hansen\u2019s Disease Program, Baton Rouge, Louisiana"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"b1","series-title":"MMWR Morb Mortal Wkly Rep","first-page":"969","article-title":"Incidence of Hansen\u2019s disease\u2014United States, 1994\u20132011","volume":"63","author":"Nolen","year":"2014"},{"key":"b2","series-title":"N Engl J Med","first-page":"1626","article-title":"Probable zoonotic leprosy in the southern United States","volume":"364","author":"Truman","year":"2011"},{"key":"b3","series-title":"Int J Lepr Other Mycobact Dis","first-page":"255","article-title":"Classification of leprosy according to immunity. 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