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Erschienen in:
09.07.2018 | Clinical Practice: Clinical Images
Jaccoud’s Arthropathy
Erschienen in: Journal of General Internal Medicine | Ausgabe 9/2018
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A 23-year-old woman with a 7-year history of systemic lupus erythematosus (SLE) complicated by lupus nephritis presented with abdominal distension. She was found to have worsening renal function with nephritic range proteinuria and ascites. Musculoskeletal examination revealed Z-shaped thumbs, swan neck deformities of the distal interphalangeal joints, and reduced flexion at the metacarpophalangeal (MCP) joints, suggestive of Jaccoud’s arthropathy (JA) (Fig. 1). Radiographic films of bilateral hands confirmed non-erosive disease (Fig. 2).
Fig. 1
Left hand with Jaccoud’s arthropathy
Fig. 2
Radiographic film of both right and left hands with subluxation of the interphalangeal joint of the first finger of the right greater than left hand; no focal bone erosions
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