Cartayrade Noëlle, Lapègue Franck, Cambon Zoé, Sans Nicolas, Faruch Marie
From the Department of Radiology, CHU Toulouse-Purpan, Place du docteur Baylac, 31059 Toulouse Cedex 9, France.
Radiology. 2018 Dec;289(3):873-875. doi: 10.1148/radiol.2018162093.
History A 28-year-old woman presented to the emergency department with painful swelling of the third finger on her right hand, which developed quickly. She had no relevant medical or surgical history. Her pain was worse at night, with stiffness decreasing during the morning. Clinical examination revealed generalized swelling of the third finger, cyanotic skin, and fingernail splitting on the second finger of the left hand ( Fig 1 ). Laboratory test results were normal, with no evidence of inflammatory disease. Radiographs of both hands were obtained ( Fig 2 ). CT scanning ( Fig 3 ) and MRI ( Fig 4 ) were also performed. [Figure: see text] [Figure: see text] [Figure: see text] [Figure: see text] [Figure: see text] [Figure: see text] [Figure: see text] [Figure: see text].
一名28岁女性因右手无名指迅速出现疼痛性肿胀而就诊于急诊科。她无相关内科或外科病史。她的疼痛在夜间加重，早晨僵硬感减轻。临床检查发现右手无名指广泛性肿胀、皮肤发绀，左手食指指甲裂开（图1）。实验室检查结果正常，无炎症性疾病证据。拍摄了双手的X线片（图2）。还进行了CT扫描（图3）和MRI（图4）。[图：见正文] [图：见正文] [图：见正文] [图：见正文] [图：见正文] [图：见正文] [图：见正文] [图：见正文]
