Large geodes in rheumatoid arthritis without joint destruction.
Although subchondral geodes are a well-known radiological feature of rheumatoid arthritis (RA), large geodes are uncommon. Progressive bone damage with pathological fractures has been reported. We report the case of a 49-year-old man with seropositive RA in whom large, rapidly progressive geodes in the wrists, hands, and feet contrasted with the absence of joint destruction, good functional tolerance, and moderate abnormalities of markers for inflammation. The location and rapid progression of the cyst-like lesions in this patient were highly unusual.
Rabar
Didier
D
Rheumatology department, Hôpital d'Instruction des Armées Desgenettes, boulevard Pinel, 69275 Lyon cedex 03, France.
Crozes
Philippe
P
Lernoud
Murielle
M
Meignan
Francis
F
D018501:Antirheumatic Agents / Q000627:therapeutic use; D001172:Arthritis, Rheumatoid / Q000150:complications* / Q000000981:diagnostic imaging* / Q000188:drug therapy; D001845:Bone Cysts / Q000000981:diagnostic imaging* / Q000209:etiology*; D002348:Carpal Bones / Q000000981:diagnostic imaging; D018450:Disease Progression; D005529:Foot Bones / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013639:Tarsal Bones / Q000000981:diagnostic imaging
D018501:Antirheumatic Agents