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MR Vol.10 No.3 indexに戻る
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MODERN RHEUMATOLOGY
Vol.10 No.3 |
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Flexor tenosynovitis of the hands as an initial
manifestation of systemic lupus erythematosus |
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| Y. Tada1, M. Sadakata1, S. Koarada1, O.
Ushiyama1, N. Suzuki1, A. Ohta2, K. Nagasawa1 |
(1)Department of Internal Medicine, Saga Medical
School, 5-1-1 Nabeshima, Saga 849-8501, Japan
(2)Department of Nursing, Saga Medical School, Saga, Japan |
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| Abstract |
| Abstract We describe a patient who presented
with flexion contractures of the bilateral fingers due to tenosynovitis
of the flexor digitorum tendons as an initial manifestation of systemic
lupus erythematosus (SLE). A 17-year-old woman had abrupt onset of
diffuse swelling and flexion contractures in the bilateral fingers,
accompanied by polyarthritis and cervical lymphadenopathy. Magnetic
resonance imaging (MRI) showed flexor tenosynovitis of the hands.
A diagnosis of SLE was made by immunological and hematological tests,
and treatment with oral corticosteroids resulted in a rapid and complete
disappearance of the flexion contractures. |
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| Key words |
| Key words Flexion contracture ・ Flexor tenosynovitis
・ Systemic lupus erythematosus |
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