Exacto Ricardo, yo tengo ese concepto. These symptoms may be mistaken for another type of inflammatory arthritis and can precede the diagnosis of SLE by months or years. The ankles, elbows, shoulders, and hips are less frequently involved. Involvement of the sacroiliac joints and cervical spine may occur but is rare. Monoarticular arthritis is unusual and suggests an alternative cause such as infection.
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Exacto Ricardo, yo tengo ese concepto. These symptoms may be mistaken for another type of inflammatory arthritis and can precede the diagnosis of SLE by months or years. The ankles, elbows, shoulders, and hips are less frequently involved. Involvement of the sacroiliac joints and cervical spine may occur but is rare. Monoarticular arthritis is unusual and suggests an alternative cause such as infection. Although the arthritis of SLE is generally considered to be nondeforming, flexion deformities, ulnar deviation, soft tissue laxity, and swan neck deformities, as seen in RA, have been noted in 15 to 50 percent of patients with SLE [].
Similarly, in one study of 26 patients with SLE using ultrasonography, synovial proliferation and effusions were detected in the knees in 23 percent of patients, and synovitis was seen in 40 percent, although no erosions were detected [8].
More sensitive imaging methods, such as magnetic resonance imaging MRI , more often reveal erosive changes and abnormalities of the soft tissues, including capsular swelling, proliferative tenosynovitis, and synovial overgrowth [6]. In contrast to the typical findings in RA, these deformities are usually easily reducible; they are thought to be due to lax joint capsules, tendons, and ligaments that cause joint instability [6].
Tendons may also be involved in SLE. Tenosynovitis has been noted in 10 to 44 percent of patients, including epicondylitis, rotator cuff tendinitis, Achilles tendinitis, tibialis posterior tendinitis, and plantar fasciitis [4,6,12,13]. Infrapatellar and Achilles tendon ruptures are rare [14]. See "Posterior and medial ankle tendinopathies not involving the Achilles tendon".
En la medicina 2 y 2 no son 4.
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Jaccoud arthropathy
Cases and figures Clinical presentation Jaccoud arthropathy is characterized by marked ulnar subluxation and deviation at the metacarpophalangeal joints that is correctable or reducible with physical manipulation 7. Pathology It was traditionally described as occurring post- rheumatic fever. It is also seen in association with systemic lupus erythematosus SLE and other rheumatic and non-rheumatic conditions including psoriatic arthritis , inflammatory bowel disease and malignancy 5. It is thought to be related to ligamentous laxity 7.
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