Sheikh Ali Sibtain Farooq, Wong Ernest
Rheumatology, Furness General Hospital, Barrow-in-Furness, UK.
Rheumatology, Queen Alexandra Hospital, Portsmouth, UK.
BMJ Case Rep. 2019 Feb 28;12(2):e227739. doi: 10.1136/bcr-2018-227739.
Mirror hand is a congenital anomaly characterised by duplication of the ulnar ray, resulting in polydactyly and functional disability of the hand. It can cause arthralgias and weakness in intrinsic muscles of the hand. We present a young woman who had a surgically corrected mirror hand and subsequently developed aggressive rheumatoid arthritis, which increased her limitations to a significant degree. Early diagnosis and treatment in such cases is very important to prevent long-term disability.
镜手是一种先天性畸形,其特征为尺侧多指重复,导致多指畸形和手部功能残疾。它可引起关节疼痛和手部固有肌无力。我们报告一名年轻女性,她接受了手术矫正的镜手,随后患上侵袭性类风湿关节炎,这在很大程度上增加了她的功能受限。在此类病例中早期诊断和治疗对于预防长期残疾非常重要。