title: Radiological bone lesions in fibroblastic rheumatism; case report.
abstract: BACKGROUND
  Fibroblastic rheumatism (FR) is a rare disease characterized by polyarthralgia associated with painless subcutaneous nodules, sclerodactyly and finger contractures.
  
  
  METHODS
  A 45-year-old man presented with peripheral vascular disease, polyarthralgia and subcutaneous nodules. The diagnosis of FR was confirmed by histological examination of a biopsy sample of a nodule, which showed myofibroblast proliferation. Radiographs of both hands showed bilateral erosion of the distal and proximal interphalangeal joints, of the right trapezium bone and acro-osteolysis of the third phalanx of the right-hand second finger.
  
  
  CONCLUSIONS
  Although the clinical features of FR have now been well described, the literature includes few radiological descriptions. In most reported cases, radiographs are normal at disease onset. Joint radiographs performed later usually show bone destruction of the hands and feet.
authors.affiliation: Service de Radiologie, Hôpital Avicenne, Assistance Publique-Hôpitaux de Paris (AP-HP) et Université Paris-Nord, Bobigny.
authors.forename: Frédérique
authors.initials: F
authors.lastname: Réty
authors.forename: One A
authors.initials: OA
authors.lastname: Tayebjee
authors.forename: Amélie
authors.initials: A
authors.lastname: Servettaz
authors.forename: Pascal
authors.initials: P
authors.lastname: Godmer
authors.forename: Jean-Claude
authors.initials: JC
authors.lastname: Le Van An
authors.forename: Jean-Denis
authors.initials: JD
authors.lastname: Laredo
authors.forename: Antoine
authors.initials: A
authors.lastname: Martin
authors.forename: Loïc
authors.initials: L
authors.lastname: Guillevin
authors.forename: Luc
authors.initials: L
authors.lastname: Mouthon
mesh_terms: D030981:Acro-Osteolysis / Q000209:etiology; D018771:Arthralgia / Q000209:etiology; D001706:Biopsy; D005347:Fibroblasts / Q000473:pathology*; D005384:Finger Joint / Q000000981:diagnostic imaging; D005385:Fingers / Q000000981:diagnostic imaging; D006225:Hand / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010014:Osteolysis / Q000000981:diagnostic imaging*; D011859:Radiography; D012216:Rheumatic Diseases / Q000000981:diagnostic imaging* / Q000473:pathology