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Enthesopathy in leprosy

P Carpintero-Benítez1, C Logroño, E Collantes-Estevez

  • 1University of Cordoba, Hospital Universitario Reina Sofia, Department of Especialidades Médico-Quirúrgicas, Spain.

The Journal of Rheumatology
|June 1, 1996
PubMed
Summary

Leprosy patients frequently show calcaneus enthesopathy, a condition affecting the plantar fascia. This bone spur formation was more prevalent in lepromatous leprosy than tuberculoid leprosy.

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Area of Science:

  • Rheumatology
  • Infectious Diseases
  • Radiology

Background:

  • Leprosy is a chronic infectious disease primarily affecting peripheral nerves, skin, and other organs.
  • Enthesopathy, inflammation or degeneration at the site of tendon or ligament insertion into bone, is a known complication in various inflammatory conditions.
  • The involvement of entheses in leprosy, particularly at the calcaneus, has not been extensively studied.

Purpose of the Study:

  • To investigate the presence and characteristics of enthesopathy at the calcaneus in patients diagnosed with leprosy.
  • To compare the prevalence and location of calcaneus enthesophytes in leprosy patients versus a healthy control group.

Main Methods:

  • A radiographic study was conducted over three years.
  • Patients with leprosy were compared to age- and sex-matched healthy controls without bone or joint disease.
  • The presence and location of enthesophytes at the calcaneus were assessed radiographically.

Main Results:

  • Calcaneus enthesopathy was significantly more frequent in patients with leprosy compared to controls.
  • No significant difference was observed in the location of enthesophytes between the leprosy and control groups.
  • Calcaneus spurs were detected more frequently in patients with lepromatous leprosy than in those with tuberculoid leprosy.

Conclusions:

  • Enthesitis, specifically at the calcaneus, is a demonstrable manifestation of leprosy.
  • The prevalence of calcaneus enthesopathy may differ between leprosy subtypes, being potentially higher in lepromatous leprosy.
  • Radiographic assessment of calcaneal enthesophytes can aid in understanding the musculoskeletal complications of leprosy.

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