دورية أكاديمية

Severe Acro-osteolysis Mimicking Arthritis Mutilans in a Patient with Primary Hyperparathyroidism: A Case Report.

التفاصيل البيبلوغرافية
العنوان: Severe Acro-osteolysis Mimicking Arthritis Mutilans in a Patient with Primary Hyperparathyroidism: A Case Report.
المؤلفون: Sapundzhieva T; Department of Propedeutics of Internal Diseases, Medical University of Plovdiv, Medical Faculty, Plovdiv, Bulgaria.; Rheumatology Department, University Hospital 'Pulmed', Plovdiv, Bulgaria., Sapundzhiev L; Department of Propedeutics of Internal Diseases, Medical University of Plovdiv, Medical Faculty, Plovdiv, Bulgaria.; Rheumatology Department, University Hospital 'Pulmed', Plovdiv, Bulgaria., Klinkanov K; Department of Propedeutics of Internal Diseases, Medical University of Plovdiv, Medical Faculty, Plovdiv, Bulgaria.; Rheumatology Department, University Hospital 'Pulmed', Plovdiv, Bulgaria., Mitev M; Rheumatology Department, University Hospital 'Pulmed', Plovdiv, Bulgaria., Batalov A; Department of Propedeutics of Internal Diseases, Medical University of Plovdiv, Medical Faculty, Plovdiv, Bulgaria.; Rheumatology Clinic, University Hospital 'Kaspela', Plovdiv, Bulgaria.
المصدر: Current rheumatology reviews [Curr Rheumatol Rev] 2024; Vol. 20 (5), pp. 574-585.
نوع المنشور: Case Reports; Journal Article
اللغة: English
بيانات الدورية: Publisher: Bentham Science Publishers Country of Publication: United Arab Emirates NLM ID: 101261938 Publication Model: Print Cited Medium: Internet ISSN: 1875-6360 (Electronic) Linking ISSN: 15733971 NLM ISO Abbreviation: Curr Rheumatol Rev Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Saif Zone, Sharjah, U.A.E. ; San Francisco, CA : Bentham Science Publishers, 2005-
مواضيع طبية MeSH: Acro-Osteolysis*/diagnostic imaging , Acro-Osteolysis*/etiology , Hyperparathyroidism, Primary*/complications , Hyperparathyroidism, Primary*/diagnosis, Humans ; Diagnosis, Differential ; Female ; Middle Aged ; Arthritis/etiology ; Arthritis/diagnosis ; Finger Joint/diagnostic imaging
مستخلص: Background: Primary hyperparathyroidism (PHPT) should be considered in the differential diagnosis of a patient with suspected secondary osteoporosis, and severe osteoporosis with multiple fractures is frequently the first clinical manifestation of the disease.
Case Presentation: Mutilating arthritis (arthritis mutilans) can be part of the clinical presentation of a number of rheumatic diseases, most commonly seen in psoriatic arthritis, rheumatoid arthritis, and juvenile idiopathic arthritis, but also in systemic lupus, systemic sclerosis, and multicentric reticulohistiocytosis. Evidence exists that subperiosteal and subchondral bone resorption, seen in PHPT, could induce the so-called 'osteogenic synovitis', which could eventually lead to the development of a secondary osteoarthritis with bone deformities.
Conclusion: Here, we present a case report of a patient initially diagnosed with PHPT who presented with mutilating arthritis of the finger joints and discuss whether the severe acro-osteolysis is a manifestation of the endocrinopathy or whether there is a co-existing undiagnosed inflammatory joint disease.
(Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.net.)
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فهرسة مساهمة: Keywords: Hyperparathyroidism; acro-osteolysis; arthritis mutilans; mutilating arthritis; osteogenic synovitis.; parathormone
تواريخ الأحداث: Date Created: 20240205 Date Completed: 20240724 Latest Revision: 20240724
رمز التحديث: 20240725
DOI: 10.2174/0115733971273126231214063403
PMID: 38314597
قاعدة البيانات: MEDLINE
الوصف
تدمد:1875-6360
DOI:10.2174/0115733971273126231214063403