Dietrich disease

Case contributed by Dr Andrew Dixon

Presentation

Woman investigated for bilateral hand pains.

Patient Data

Age: 45
Gender: Female
X-ray

Case Discussion

Hand radiographs demonstate abnormality of the bilateral 3rd and right 2nd metacarpal heads. There is contour deformity of the heads and a mixed lucent and sclerotic appearance to the subchondral bone.  These findings are consistent with avascular necrosis which in this location has the eponymous name: dietrich disease.

There is possible erosion of the right ulnar styloid process and therefore a superimposed erosive arthropathy such as rheumatoid arthritis needs consideration. 

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Case information

rID: 9752
Case created: 21st May 2010
Last edited: 25th Sep 2015
Tag: avn
Inclusion in quiz mode: Included

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