Severe erosive arthropathy requiring surgical treatments in systemic lupus erythematosus.
We report a case of 43-year-old woman with an overlap syndrome of systemic lupus erythematosus (SLE) and dermatomyositis who developed erosive arthritis with extracapsular cysts involving multiple joints. An extensive synovectomy for the left wrist joint and a total joint replacement for the right hip joint were required to achieve complete symptom relief. She was not diagnosed with rheumatoid arthritis (RA). This was a rare case of SLE manifesting non-RA erosive arthritis that required surgical interventions.
Department of Orthopaedic Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin-Kawaharacho, Sakyo-ku, Kyoto 606-8507, Japan.
Toshiyuki
T
Kitaori
Hiromu
H
Ito
Hiroyuki
H
Yoshitomi
Tomoki
T
Aoyama
Takao
T
Fujii
Tsuneyo
T
Mimori
Takashi
T
Nakamura
D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001168:Arthritis / Q000150:complications / Q000473:pathology* / Q000601:surgery; D019644:Arthroplasty, Replacement, Hip; D003560:Cysts / Q000473:pathology / Q000601:surgery; D003882:Dermatomyositis / Q000150:complications / Q000188:drug therapy / Q000473:pathology; D005260:Female; D006621:Hip Joint / Q000473:pathology / Q000601:surgery; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications / Q000188:drug therapy / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D011241:Prednisone / Q000627:therapeutic use; D000074402:Synovectomy; D013583:Synovial Membrane / Q000473:pathology; D016896:Treatment Outcome; D014955:Wrist Joint / Q000473:pathology / Q000601:surgery
D000893:Anti-Inflammatory Agents; D011241:Prednisone