This is a case report of 22-year-old man who was suffering from epididymo-orchitis for Wash Tee more than 2 years.Several months after the onset of the condition, the patient developed bilateral upper-limb and lower-limb numbness and tingling sensation with hypothesia, which was further complicated by nonhealing foot ulcer, arthralgia, and generalized maculopapular skin rash.The patient was initially managed as rheumatoid arthritis associated with vasculitis, which was later diagnosed as lepromatous leprosy.Musculoskeletal complaints are Sherlocks not exclusive to only autoimmune diseases; it can also be observed in several disorders, such as infectious diseases.
It is challenging for any physician to properly diagnose patients with leprosy as differentiating leprosy from other systemic rheumatic disease is pivotal.