TM86 #ACR23 @RheumNow Auricular chondritis, arthritis, axonopathy, high inflamm. Initial Dx: RP Exam: lymphadenopathy, erythema nodosum, TJC 36, SJC 4 (knees/ankles), decr sensation, asymm reflex, macular rash, nerve thicken Skin bx: septal panniculitis wo vasc Dx: leprosy https://t.co/P5QJArRDaA