Lyme arthritis with subarticular cyst formation in metacarpal and metatarsal bones.
A young woman was treated for seronegative rheumatoid arthritis for more than 9 years, without clinical improvement, before the diagnosis of chronic Lyme arthritis of the metacarpal and metatarsal phalangeal joints was made. Roentgenograms showed subarticular cyst formation in the metacarpal and metatarsal bones. The patient's response to treatment with a 2-week course of ceftriaxone was dramatic.
Watanakunakorn
C
C
Department of Internal Medicine, St. Elizabeth Hospital Medical Center, Youngstown, OH 44501-1790.
Toliver
J
J
D000328:Adult; D001170:Arthritis, Infectious / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D001845:Bone Cysts / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D002443:Ceftriaxone / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008193:Lyme Disease / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D050279:Metacarpal Bones / Q000000981:diagnostic imaging; D008682:Metatarsal Bones / Q000000981:diagnostic imaging; D008683:Metatarsophalangeal Joint / Q000000981:diagnostic imaging; D011859:Radiography
D002443:Ceftriaxone