Radiological bone lesions in fibroblastic rheumatism; case report.
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.
Réty
Frédérique
F
Service de Radiologie, Hôpital Avicenne, Assistance Publique-Hôpitaux de Paris (AP-HP) et Université Paris-Nord, Bobigny.
Tayebjee
One A
OA
Servettaz
Amélie
A
Godmer
Pascal
P
Le Van An
Jean-Claude
JC
Laredo
Jean-Denis
JD
Martin
Antoine
A
Guillevin
Loïc
L
Mouthon
Luc
L
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