Vol.19 No.4

Case Report

Severe erosive arthropathy requiring surgical treatments in systemic lupus erythematosus

Authors

Toshiyuki Kitaori1 , Hiromu Ito1 , Hiroyuki Yoshitomi1 , Tomoki Aoyama3 , Takao Fujii2 , Tsuneyo Mimori2 , Takashi Nakamura1

  • Department of Orthopaedic Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin-Kawaharacho, Sakyo-ku, Kyoto 606-8507, Japan
  • Department of Rheumatology and Clinical Immunology, Kyoto University Graduate School of Medicine, 54 Shogoin-Kawaharacho, Sakyo-ku, Kyoto 606-8507, Japan
  • Institute for Frontier Medical Sciences, Kyoto University, 53 Shogoin-Kawaharacho, Sakyo-ku, Kyoto 606-8507, Japan
Received:

28 November 2008

Accepted:

17 March 2009

Published online:

14 April 2009

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Abstract

We report a case of 43-year-old woman with an overlap syndrome of systemic lupus erythematosus (SLE) and dermatomyositis who developed erosive arthritis with extracapsular cysts involving multiple joints. An extensive synovectomy for the left wrist joint and a total joint replacement for the right hip joint were required to achieve complete symptom relief. She was not diagnosed with rheumatoid arthritis (RA). This was a rare case of SLE manifesting non-RA erosive arthritis that required surgical interventions.

Key words

Systemic lupus erythematosus (SLE) - Erosive arthritis - Rheumatoid arthritis - Surgical treatment