02035nas a2200253   4500000000100000008004100001260003400042653002000076653002400096653002700120653003900147100001300186700001200199700001300211700001500224700002000239700001400259245006700273856006000340300000900400490000700409520134000416022002501756       2023                            d  bKnowledge Enterprise Journals10arheumatologists10aautoimmune diseases10aimmunosuppressive drug10aNeglected tropical diseases (NTDs)1 aGoueff A1 aJayne D1 aMartin C1 aHachulla E1 aVandergheynst F1 aLongley N00aNeglected Tropical Diseases key aspects for the rheumatologist  uhttps://esmed.org/MRA/mra/article/view/4512/99193547598  a1-160 v113 a<p>Neglected tropical diseases (NTDs) are a group of 20 infectious diseases that are no longer restricted to tropical regions and that will be increasingly encountered by physicians of the Northern hemisphere. In this article, we review key aspects of tropical medicine relevant for rheumatologists or doctors working with autoimmune diseases or immunosuppressive drugs in order to be aware of NTDs, look out for them and prevent their complications. The article addresses four main topics: eosinophilia workup, rheumatic presentations of NTDs, such as myositis or arthritis lupus, granulomatosis with polyangiitis or vasculitis mimickers, such Leishmaniasis, Leprosy or Human African Trypanosomiasis and screening before starting immunosuppression, including Strongyloidiasis and Chagas disease. With this review, we intend to raise awareness for NTDs amongst rheumatologists and internists working in the Northern hemisphere. NTDs should be considered and excluded in patients with relevant travelhistory or exposure in following situations: during the differential diagnosis of a suspected new autoimmune condition, in case of poor response or flare of symptoms on initiating immunosuppressive therapy, during systematic screening prior to starting immunosuppressive medication, along with blood born viruses and tuberculosis.</p>
  a2375-1916, 2375-1924