Rheumatoid arthritis of the wrist joint

Case contributed by Dr Ahmed Abd Rabou

Presentation

Wrist pain and stiffness especially in the morning.

Patient Data

Age: 40 years old
Gender: Male

Wrist joint synovial hypertrophy with erosions of the distal radius and carpal bones, marrow edema of the capitate and lunate and mild joint effusion. Focal discontinuity of the triangular fibrocartilage at the ulnar side is also noted. No deformity seen.

Case Discussion

The patient was discovered to have Rheumatoid factor positive. The hallmark of rheumatoid is the formation of pannus, which is synovial hypertrophy in response to inflammation. Later on pannus erodes the articular surface of bone and cartilage and results in arthritis and bone deformity.

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Case information

rID: 27375
Case created: 1st Feb 2014
Last edited: 14th Dec 2015
Inclusion in quiz mode: Included

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