Nodular rheumatoid arthritis resembling gout
| Autor: | Muriel Soden, Katie Buzacott, Katrina Chakradeo |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty Pathology Rheumatoid nodule 030204 cardiovascular system & hematology Article Arthritis Rheumatoid Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Sulfasalazine Internal medicine medicine Rheumatoid factor Humans skin and connective tissue diseases Leflunomide Aged 030203 arthritis & rheumatology business.industry Arthritis Gouty Multicentric reticulohistiocytosis General Medicine medicine.disease Hand Dermatology Rheumatology Gout Rheumatoid arthritis medicine.symptom business medicine.drug |
| Popis: | A 57-year-old man presented for review in the rheumatology outpatients clinic. He had a 30-year history of rheumatoid arthritis and was known to be positive for rheumatoid factor and anticitrullinated protein antibodies (anti-CCP antibodies). He had been treated over the past 30 years with various immunosuppression regimens, including long-term methotrexate, leflunomide and sulfasalazine. His disease had been stable for the past 2 years with no recent increase in nodules or episodes of acute synovitis. Several times in the past 15 years his diagnosis of rheumatoid arthritis had come into question due to the atypical appearance of his hands which closely resembled gout (figures 1 and 2). On two occasions, excision of rheumatoid nodules was sent for histology to exclude other diagnoses such as gout and multicentric reticulohistiocytosis. … |
| Databáze: | OpenAIRE |
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