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Rheumatology 2003; 42: 1109-1111
© 2003 British Society for Rheumatology

Letters to the Editor

Unusual co-incidence of Heberden's and Bouchard's osteoarthritis, rheumatoid arthritis and haemochromatosis

J. Schedel, A. Wimmer, A. Friedrich, R. Büttner, J. Schölmerich and U. Müller-Ladner

Department of Internal Medicine I, Division of Rheumatology and Clinical Immunology, University Hospital of Regensburg, D-93042 Regensburg, Germany

The first 10% of the full text of this article appears below.

SIR, We report a 49-yr-old female patient presenting with symmetrical polyarthritides involving proximal interphalangelal (PIP) joints, metacarpophalangeal (MCP) joints, wrists, ankles and metatarsophalangeal (MTP) joints. The patient had been diagnosed with Heberden's and Bouchard's disease 5 years previously. At the time of first visit, the patient presented in reduced condition, with impressive swelling of all PIPs and all distal interphalangeal (DIP) joints, and less swelling of MCPs II and III. Laboratory results revealed an ESR of 15/22, a CRP of 17.1 mg/l (normal <5 mg/l) and an RF of 421 U/ml. HLA-DR4 was positive. X-rays of hand and finger joints showed joint narrowing of all PIPs and DIPs with minor erosions in PIPs III and IV. A skeletal scintigraphy revealed tracer accumulation in all DIPs, PIPs, MCPs and the left wrist. Based on the ACR criteria for . . . [Full Text of this Article]


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