RESUMO

A 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.

Assuntos

Edema/complicações , Hanseníase/complicações , Sinovite/complicações , Idoso , Clofazimina/uso terapêutico , Dapsona/uso terapêutico , Quimioterapia Combinada , Edema/tratamento farmacológico , Edema/patologia , Pé/patologia , Humanos , Hansenostáticos/uso terapêutico , Hanseníase/tratamento farmacológico , Hanseníase/patologia , Imageamento por Ressonância Magnética , Masculino , Metilprednisolona/uso terapêutico , Rifampina/uso terapêutico , Sinovite/tratamento farmacológico , Sinovite/patologia , Resultado do Tratamento