• Clinical rheumatology · Feb 2006

    Case Reports

    Remitting seronegative symmetrical synovitis with pitting edema in leprosy.

    • Claudia Andrea Helling, Ana Locursio, Maria Elena Manzur, and Maria Leticia Sormani de Fonseca.
    • Department of Rheumatology, Hospital Bernardino Rivadavia, Borges 2165, 6th-A floor, 1425 Buenos Aires, Argentina. ahelling@intramed.net.ar
    • Clin. Rheumatol. 2006 Feb 1; 25 (1): 95-7.

    AbstractA 67-year-old man, who had widespread and well-defined erythematous violaceous hyperkeratotic plaques on his skin, was diagnosed with borderline tuberculoid leprosy. The patient began treatment with clofazimine, rifampicin, and dapsone, but 15 days afterwards he complained of acral edema with godet sign. Magnetic resonance imaging was done, and the case was interpreted as remitting seronegative symmetrical synovitis with pitting edema. About 8 mg/day of methylprednisolone were started with excellent response.

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