Dietrich disease (metacarpal head avascular necrosis)

Case contributed by Dr Domenico Nicoletti

Presentation

Seamstress with a painful and swollen third metacarpophalangeal joint of the right hand. These symptoms had started six months previously, without trauma.

Patient Data

Age: 75 years
Gender: Female

Xray right hand

Partial collapse of third metacarpal head.

Case Discussion

Dietrich's disease is extremely rare and has been associated with trauma, systemic lupus erythematosus, congenitally short digits and steroid use.

Case courtesy: Prof. Fabio Denicolò

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Case information

rID: 69509
Published: 12th Jul 2019
Last edited: 21st Jan 2020
Inclusion in quiz mode: Included

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