A 52-Year-Old With Painful Fingertips.

Oka, Hideki; Sumitomo, Shuji; Ohmura, Koichiro

Oka, Hideki; Sumitomo, Shuji; Ohmura, Koichiro.

Afiliação

Oka H; Department of Rheumatology, Kobe City Medical Center General Hospital, Kobe, Hyogo, Japan.
Sumitomo S; Department of Rheumatology, Kobe City Medical Center General Hospital, Kobe, Hyogo, Japan.
Ohmura K; Department of Rheumatology, Kobe City Medical Center General Hospital, Kobe, Hyogo, Japan.

JAMA ; 330(24): 2388-2389, 2023 12 26.

Article em En | MEDLINE | ID: mdl-38048123

A patient had cold, cyanotic fingertips with small ulcerations. Laboratory testing showed leukocytosis, eosinophilia, and elevated D-dimer level; results of tests for antinuclear antibodies, antiphospholipid antibodies, antineutrophil cytoplasmic antibodies against proteinase 3 and myeloperoxidase, and HIV were negative. What is the diagnosis and what would you do next?

Assuntos

Dedos; Dor; Humanos; Masculino; Pessoa de Meia-Idade; Anticorpos Anticitoplasma de Neutrófilos; Ensaio de Imunoadsorção Enzimática; Dor/etiologia

Texto completo

Imprimir

XML

PubMed Links

Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Dor / Dedos Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo

Imprimir

XML

PubMed Links

Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Dor / Dedos Idioma: En Ano de publicação: 2023 Tipo de documento: Article