Affiliation:
1. Queen Mary Hospital , 102 Pok Fu Lam Road , Hong Kong , China
Abstract
Abstract
We report a 45-year-old lady with rheumatoid arthritis (RA) presented to us with unilateral swelling of the left hand and wrist, mimicking lymphedema. She was arranged to have a magnetic resonance imaging (MRI) of the affected hand and wrist. Lymphedema was successfully ruled out, and severe synovitis and tenosynovitis were found to be the causes of the extensive swelling. The case report aims to illustrate the importance of MRI in diagnosing and differentiating other important pathologies for lymphedema-like swelling in patients with RA.
Reference9 articles.
1. Kalliomaki, J.L. & Vastamaki M. (1968), Chronic diffuse oedema of the rheumatoid hand: a sign of local lymphatic involvement. Ann Rheum Dis, 27(2), 167-169.
2. Ostrov, B.E. (2001), Beneficial effect of etanercept on rheumatoid lymphedema. Arthritis Rheum, 44(1), 240-241.
3. Eyigor, S., Karapolat H. & Kirazli Y. (2008), Efficacy of etanercept and complete decongestive physical therapy in bilateral lower-limb lymphoedema associated with rheumatoid arthritis: a case report. Adv Ther, 25(1), 23-28.
4. McQueen, F.M. (2014), MRI in rheumatoid arthritis: a useful tool for the clinician? Postgrad Med J, 90(1064), 332-339.
5. Wijnands, M.J., et al. (1988), Lymphatic obstruction as a cause of oedema in rheumatoid arthritis. Neth J Med, 33(3-4), 140-143.