Abstract:
:A 56-year-old woman presented with changes characteristic of the reflex sympathetic dystrophy syndrome (RSDS) but also frank synovitis of the left wrist, an elevated ESR and early damage of the left carpus on radiographs, suggesting septic arthritis. A dynamic scan showed changes characteristic of RSDS. A sample of synovium and bone from the wrist showed non-specific inflammation with partial destruction of cartilage by synovial pannus and involvement of subchondral bone by the inflammatory process. The search for the cause of infection was unsuccessful. Patchy osteopaenia developed 3 months after onset. At the 12 month follow-up, the course of disease was compatible with RSDS and destruction of the carpus had not progressed. Attention is drawn to the difficulty in reaching a precise diagnosis in early stages and the need to exclude infection.
journal_name
Rheumatol Intjournal_title
Rheumatology internationalauthors
Catoggio LJ,Fongi EGdoi
10.1007/BF00541334subject
Has Abstractpub_date
1985-01-01 00:00:00pages
141-4issue
3eissn
0172-8172issn
1437-160Xjournal_volume
5pub_type
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