Hemochromatosis-associated arthropathy

Case contributed by Chris O'Donnell , 5 Feb 2018
Diagnosis certain
Changed by Alexandra Stanislavsky, 17 Apr 2020

Updates to Case Attributes

Presentation was changed:
Long-standing, biopsy proven haemochromatosis. Severe hand and feet pain.
Body was changed:

Long-standing, biopsy proven haemochromatosis. 

It is difficult to separate primary osteoarthritis and haemochromatosis-associated arthropathy. The major distinguishing features are patients being younger males with affected joints being the wrists and MCPs, whereas osteoarthritis affects the first MCP base as well as the PIPs and DIPs in a patient population of older women. Hook or beak-like osteophytes are a feature of haemochromatosis.

  • -<p>It is difficult to separate primary <a title="Osteoarthritis" href="/articles/osteoarthritis">osteoarthritis</a> and <a title="Haemochromatosis (skeletal manifestations)" href="/articles/haemochromatosis-skeletal-manifestations-3">haemochromatosis-associated arthropathy</a>. The major distinguishing features are patients being younger males with affected joints being the wrists and MCPs, whereas osteoarthritis affects the first MCP base as well as the PIPs and DIPs in a patient population of older women. Hook or beak-like osteophytes are a feature of haemochromatosis.</p>
  • +<p>Long-standing, biopsy proven haemochromatosis. </p><p>It is difficult to separate primary <a href="/articles/osteoarthritis">osteoarthritis</a> and <a href="/articles/haemochromatosis-skeletal-manifestations-3">haemochromatosis-associated arthropathy</a>. The major distinguishing features are patients being younger males with affected joints being the wrists and MCPs, whereas osteoarthritis affects the first MCP base as well as the PIPs and DIPs in a patient population of older women. Hook or beak-like osteophytes are a feature of haemochromatosis.</p>

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