MR Vol.12 No.1 indexに戻る

MODERN RHEUMATOLOGY Vol.12 No.1             
A case of systemic lupus erythematosus associated with trigger wrist
K. Ohtani1, K. Fukuda1, C. Hamanishi1
(1)Department of Orthopaedic Surgery, Kinki University School of Medicine, 377-2 Ohnohigashi, Osaka-sayama 589-8511, Japan
 
Abstract
Abstract A 54-year-old woman complained of a painful, swollen, and clicking left wrist for 1 year. She had an 8-year history of systemic lupus erythematosus (SLE), treated with oral prednisolone. Flexion and extension of all fingers were difficult to initiate on wrist extension, and movement was accompanied by a palpable click at the wrist. Magnetic resonance imaging (MRI) and tenography revealed the expanded sheath of the flexor tendons and well-defined round free bodies known as rice bodies. Synovectomy and excision of rice bodies resulted in complete disappearance of swelling and triggering of the wrist.
 
Key words
Key words Systemic lupus erythematosus (SLE) ・ Tenosynovitis ・ Trigger wrist
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