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Age / Sex : 28 / F
Chief complaint : multiple joint pain, euco/thrombocytopenia, and malar rash
What is your diagnosis?
Two weeks later, you can see the final diagonosis with a brief discussion of this case (Please submit only one answer)
Courtesy : 김여주 (Yeo Ju Kim), 한양대학교병원 (Hanyang University Hospital)
Diagnosis: Jaccoud’s arthropathy in SLE
Discussion
Disease definition
deforming but non erosive arthropathy that can affect patients with systemic lupus erythematosus (SLE).
Findings
1. Periarticular osteopenia
2. symmetric involvement of the interphalangeal joint of multiple digit of hand
3. Joint space narrowing and osseous erosion are not prominent
4. Multiple reducible subluxation of MCP, DIP, and IP joint of hand
5. In feet, the deformities include contractures, the lateral deviation of MTP joints, hallux valgus, hammer toes
References
Sudoł-Szopińska I, Żelnio E, Olesińska M, Gietka P, Ornowska S, Power DJ, Taljanovic MS. Update on Current Imaging of Systemic Lupus Erythematous in Adults and Juveniles. J Clin Med. 2022;11(17):5212. doi: 10.3390/jcm11175212.
Chrisoula Pipili, Areti Sfritzeri, Evangelos Cholongitas, Deforming arthropathy in systemic lupus erythematosus,European Journal of Internal Medicine,2008;19(7):482-487
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