Jaccoud arthropathy: a rarity in the spectrum of HIV-associated arthropathy.
In studies comparing HIV-infected patients with HIV-negative patients, rheumatic manifestations, including reactive arthritis, psoriatic arthritis, myalgia, tendinitis, fibromyalgia, necrotizing vasculitis, polymyositis, Sjogren syndrome, were shown to occur more frequently in the HIV-positive group. Uncommon clinical features and the demonstration of HIV antigens in the synovial membranes suggest a direct role of HIV in the pathogenesis of HIV-associated rheumatic disease. Jaccoud arthropathy is a nonerosive deforming arthropathy reported to occur in cases of chronic rheumatic fever and systemic lupus erythematosus. Only two cases of HIV-associated Jaccoud arthropathy has been reported in the literature thus far, both in patients with features of reactive arthritis. We report a case of HIV-associated Jaccoud arthropathy in a patient without features of reactive arthropathy.
Weeratunge
C Namal
CN
Department of Medicine, Division of Infectious Diseases, University of Texas, Health Sciences Center at San Antonio, San Antonio, Texas 78229-3900, USA. cnamalw@hotmail.com
Roldan
José
J
Anstead
Gregory M
GM
D015658:HIV Infections / Q000150:complications*; D018451:Homosexuality, Male; D006801:Humans; D007592:Joint Diseases / Q000150:complications*; D008297:Male; D008875:Middle Aged