University Hospitals of Leicester NHS Trust, Leicester, UK.
University Hospitals of Leicester NHS Trust, Leicester, UK
BMJ Case Rep. 2021 Jan 18;14(1):e237214. doi: 10.1136/bcr-2020-237214.
We present the case of a 17-year-old Asian man diagnosed with pachydermodactyly, a rare digital fibromatosis. Although this is a non-inflammatory periarticular soft tissue disorder, the clinical appearance can mimic inflammatory arthritis. The patient had a 2-year history of fusiform swelling of multiple proximal interphalangeal joints. He was initially diagnosed with juvenile idiopathic arthritis and treated with methotrexate, but a lack of clinical response led to the diagnosis of pachydermodactyly. Recognising this rare condition can prevent unnecessary and potentially harmful treatment.
我们报告了一例 17 岁亚洲男性患有厚皮性骨膜病的病例，这是一种罕见的手指纤维瘤病。尽管这是一种非炎症性的关节周围软组织疾病，但临床表现可能类似于炎症性关节炎。该患者有 2 年的多个近节指间关节梭形肿胀病史。他最初被诊断为幼年特发性关节炎，并接受了甲氨蝶呤治疗，但缺乏临床反应导致了厚皮性骨膜病的诊断。认识到这种罕见疾病可以避免不必要的和潜在有害的治疗。
