Arthritis mutilans
Citation, DOI, disclosures and article data
At the time the article was created Henry Knipe had no recorded disclosures.
View Henry Knipe's current disclosuresAt the time the article was last revised Henry Knipe had the following disclosures:
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These were assessed during peer review and were determined to not be relevant to the changes that were made.
View Henry Knipe's current disclosures- Arthritis mutilans (AM)
Arthritis mutilans is a severe form of many inflammatory arthropathies, most commonly psoriatic (PsA) and rheumatoid arthritis (RA), characterised by "telescoping" of the fingers where osteolysis leads to articular collapse, allowing loose skin and the ability of these digits to have the motion of a telescope.
Clinical presentation
Patients may present with opera glass hand (skin folds due to finger telescoping) 5.
Pathology
Arthritis mutilans more commonly occurs in the hands than the feet 2.
Aetiology
Aside from PsA and RhA, arthritis mutilans is also associated with 1-4:
References
- 1. William J. Koopman, Dennis W. Boulware, Gustavo R. Heudebert. Clinical Primer of Rheumatology. (2020) ISBN: 9780683306484
- 2. Ferreira MB, Sá N, Rocha SM, Marinho A. Opera glass hands: the phenotype of arthritis mutilans. (2013) BMJ case reports. doi:10.1136/bcr-2013-200035 - Pubmed
- 3. Montesa, María-Jesús, Andrés, Mariano. Gouty arthritis mutilans: obvious but ignored on two occasions. (2020) Rheumatology. 59 (3): 695. doi:10.1093/rheumatology/kez342 - Pubmed
- 4. Saba R, Kwatra S, Upadhyay B, Mirrakhimov A, Khan F. Multicentric Reticulohistiocytosis Presenting with Papulonodular Skin Lesions and Arthritis Mutilans. Case Rep Rheumatol. 2013;2013:201563. doi:10.1155/2013/201563 - Pubmed
- 5. Nelson, S. The Opera-Glass Hand in Chronic Arthritis: "La Main en Lorgnette" of Marie and Léri. The Journal of Bone & Joint Surgery 20(4):p 1045-1049, October 1938. JB&JS Website
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