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Rheumatology 1999; 38: 906-907
© 1999 British Society for Rheumatology

Letters to the Editor

Histoplasmosis of the wrist: a case report

P. M. Houtman, K. W. Marck and C. Hol

Department of Rheumatology, Plastic Surgery and Hand Surgery, Medical Centre Leeuwarden and Department of Medical Microbiology, Public Health Laboratory Friesland, Leeuwarden, The Netherlands

SIR, Histoplasmosis infections are endemic in the midwestern and southeastern parts of the USA, as well as in Central and South America. Focal bone involvement, tenosynovitis and solitary monoarthritis have rarely been described [1–8], and only once in a native South American in Western Europe [6]. We describe a patient suffering from corticosteroid-dependent chronic obstructive pulmonary disease, who appeared to have monoarticular histoplasmosis of . . . [Full Text of this Article]

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