Syringomyelia, neuropathic arthropathy and rheumatoid arthritis as diagnostic dilemmas in two different cases: confounding factor and true coexistence.

Neves, Fabricio de Souza; de Sousa Neves, Fabricio; Gonçalves, Deborah Pereira; Pereira Gonçalves, Deborah; Gonçalves, Célio Roberto; Roberto Gonçalves, Célio

Neves, Fabricio de Souza; de Sousa Neves, Fabricio; Gonçalves, Deborah Pereira; Pereira Gonçalves, Deborah; Gonçalves, Célio Roberto; Roberto Gonçalves, Célio.

Affiliation

Neves Fde S; Division of Rheumatology, University of Sao Paulo, Sao Paulo, Brazil. nevesfab@bol.com.br

Clin Rheumatol ; 26(1): 98-100, 2007 Jan.

Article in En | MEDLINE | ID: mdl-16362449

ABSTRACT

ABSTRACT

Two patients with neuropathic arthropathy (NA) of hands and wrists due to cervical syringomyelia are described. Articular deformities resembling rheumatoid arthritis (RA) were present in both cases. RA was misdiagnosed in the first case, leading to incorrect treatment with iatrogenic consequences, and there was real coexistence of RA and NA in the second one. Physicians must be aware of this rare condition in the differential diagnosis of wrist and hand deformities.

Subject(s)

Arthritis, Rheumatoid/diagnosis; Arthropathy, Neurogenic/diagnosis; Syringomyelia/diagnosis; Arthritis, Rheumatoid/complications; Arthritis, Rheumatoid/therapy; Arthropathy, Neurogenic/complications; Arthropathy, Neurogenic/therapy; Diagnosis, Differential; Female; Hand Deformities, Acquired/pathology; Humans; Middle Aged; Syringomyelia/complications; Syringomyelia/therapy; Wrist Joint/pathology

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Database: MEDLINE Main subject: Arthritis, Rheumatoid / Arthropathy, Neurogenic / Syringomyelia Type of study: Diagnostic_studies Limits: Female / Humans / Middle aged Language: En Year: 2007 Type: Article

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