A 68-year-old female patient presenting with peripheral arthralgia

Maria Douka, Nikolaos Kougkas, Apostolos H. Karantanas

Abstract


A 68-year-old female patient presented to the Rheumatologic Outpatient Clinic with peripheral arthralgia of hands and feet for the last 3 months. Her past medical history included a thyroid cancer 25 years earlier.

Clinical examination revealed mild symmetrical polyarthritis with skin thickening and sclerosis of the upper extremities, more prominent on the right humerus (Fig. 1).

Laboratory work-up showed slightly elevated ESR and CRP and borderline blood eosinophilia. The complete blood count was normal and RF autoantibodies, anti-CCP and ANA were negative. She was referred for further evaluation with magnetic resonance (MR) imaging of the right upper limb (Figs. 2-4).


Keywords


Eosinophilic fasciitis; Magnetic resonance imaging; Eosinophilia/diagnosis; Glucocorticoids/therapeutic use; Methotrexate/therapeutic use; Connective tissue diseases

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References


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DOI: http://dx.doi.org/10.36162/hjr.v5i2.319

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