Kurushima Shota, Horai Yoshiro, Takatani Ayuko, Nishino Ayako, Kawashiri Shin-Ya, Ichinose Kunihiro, Nakamura Hideki, Kawakami Atsushi
Department of Immunology and Rheumatology, Division of Advanced Preventive Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Japan.
Department of Rheumatology, Clinical Research Center, National Hospital Organization Nagasaki Medical Center, Japan.
Intern Med. 2017 Dec 15;56(24):3385-3387. doi: 10.2169/internalmedicine.9195-17. Epub 2017 Oct 11.
We herein report a woman in her 50s with systemic lupus erythematosus (SLE) who developed swelling and pain in her fingers; the symptoms were more prominent in winter. Magnetic resonance imaging (MRI) revealed bone edema in the phalanges of both hands, which was compatible with phalangeal microgeodic syndrome (PMS). This is the first reported case of PMS in a patient with SLE and suggests that performing MRI should be considered for patients with SLE in order to assess the nature of finger symptoms and signs more precisely.
我们在此报告一名50多岁的系统性红斑狼疮（SLE）女性患者，其手指出现肿胀和疼痛，这些症状在冬季更为明显。磁共振成像（MRI）显示双手近端指骨存在骨水肿，这与近端指骨微地理综合征（PMS）相符。这是首例报道的SLE患者合并PMS的病例，提示对于SLE患者，应考虑进行MRI检查，以便更准确地评估手指症状和体征的性质。
