PMID- 20595470 OWN - NLM STAT- MEDLINE DCOM- 20100810 LR - 20211020 IS - 1476-1645 (Electronic) IS - 0002-9637 (Print) IS - 0002-9637 (Linking) VI - 83 IP - 1 DP - 2010 Jul TI - Unmasking leprosy: an unusual immune reconstitution inflammatory syndrome in a patient infected with human immunodeficiency virus. PG - 13-4 LID - 10.4269/ajtmh.2010.10-0071 [doi] AB - Immune reconstitution inflammatory syndrome (IRIS) has become a frequent and potentially severe complication after initiation of following antiretroviral therapy (ART) in patients infected with human immunodeficiency virus (HIV). IRIS can unmask a previously clinically silent infection, such as tuberculosis, as recently described for Mycobacterium infections. We describe a case in a patient from Cote d'Ivoire living in France in whom skin papular lesions developed after initiation of ART. These lesions were associated with microbiologically proven leprosy. Thus, latent leprosy can appear as IRIS, and leprosy-associated IRIS should be considered in HIV-infected patients from areas endemic for leprosy. FAU - Bussone, Guillaume AU - Bussone G AD - Service de Maladies Infectieuses et Tropicales, et Service de Microbiologie, Centre d'Infectiologie Necker-Pasteur, Universite Paris Descartes, Hopital Necker-Enfants Malades, Assistance Publique-Hopitaux de Paris, Paris, France. FAU - Charlier, Caroline AU - Charlier C FAU - Bille, Emmanuelle AU - Bille E FAU - Caux, Frederic AU - Caux F FAU - Levy, Annie AU - Levy A FAU - Viard, Jean-Paul AU - Viard JP FAU - Lecuit, Marc AU - Lecuit M FAU - Lortholary, Olivier AU - Lortholary O LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Am J Trop Med Hyg JT - The American journal of tropical medicine and hygiene JID - 0370507 SB - IM MH - HIV Infections/*complications/drug therapy MH - Humans MH - Immune Reconstitution Inflammatory Syndrome/complications/*etiology MH - Leprosy/epidemiology/*etiology PMC - PMC2912568 EDAT- 2010/07/03 06:00 MHDA- 2010/08/11 06:00 PMCR- 2011/07/01 CRDT- 2010/07/03 06:00 PHST- 2010/07/03 06:00 [entrez] PHST- 2010/07/03 06:00 [pubmed] PHST- 2010/08/11 06:00 [medline] PHST- 2011/07/01 00:00 [pmc-release] AID - 83/1/13 [pii] AID - 10.4269/ajtmh.2010.10-0071 [doi] PST - ppublish SO - Am J Trop Med Hyg. 2010 Jul;83(1):13-4. doi: 10.4269/ajtmh.2010.10-0071.