Rheumatology Advance Access published online on April 29, 2008
Rheumatology, doi:10.1093/rheumatology/ken131
© The Author 2008. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Multicentric reticulohistiocytosis: a lesson in screening for malignancy
Department of Rheumatology, Musgrave Park Hospital, Belfast, UK
Correspondence to:
A. Millar, Department of Rheumatology, Musgrave Park Hospital, 20 Stockman's Lane, Belfast, BT9 7JB, UK. E-mail: auleenmillar@hotmail.com
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SIR, We present the case of a 65-yr-old female smoker with a 2-month history of peripheral arthralgia, referred to a tertiary rheumatology service as a possible case of RA. Her symptoms were consistent with an inflammatory polyarthropathy, with symmetrical pain and stiffness of both hands, wrists, elbows, shoulders and knees. Clinical examination confirmed the presence of synovitis of the affected joints including the DIP joints. Skin nodules were noted on the extensor