Ulnar styloid erosion - rheumatoid arthritis

Case contributed by Dr Henry Knipe

Presentation

Hand and wrist pain.

Patient Data

Age: 55 years
Gender: Female

No focal osseous lesion. Erosion of the right ulnar styloid process. No evidence of erosive arthropathy elsewhere. Skeletal alignment within normal limits. 

X-ray

5 years prior

No focal osseous lesion. No erosive arthropathy. Skeletal alignment within normal limits. 

Case Discussion

Erosion of the ulnar styloid is considered an early manifestation of rheumatoid arthritis, however, in reality, is non-specific and can be seen in other conditions (e.g. gout). This patient had a known history of rheumatoid arthritis.

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Case information

rID: 67336
Published: 30th Mar 2019
Last edited: 31st Mar 2019
Inclusion in quiz mode: Included

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