Lesson of the month
A young boy with deforming arthropathy
Department
of Medicine, All India Institute of Medical Sciences, New Delhi, India
Correspondence to: Dr R Handa, Rheumatology Division, Department of Medicine, All India Institute of Medical Sciences, New Delhi 110029, India.
Accepted for publication 22 October 1997
| The first 150 words of the full text of this article appear below. |
 |
Case report |
|---|
A 15 year old boy presented with a three year history of painless
swelling of the proximal interphalangeal (PIP) joints of both the
hands. The illness started at the age of 12 years without any history
of preceding trauma or cold exposure. There was no fever, morning
stiffness or pain. There was no limitation of hand functions like
writing skills, grasping, etc. However, for the past six months, the
patient had noticed flexion deformities of the little fingers, which
could not be corrected. No other joints were involved. The patient was
one of three children of a non-consanguinous marriage. None of the
parents or other siblings had similar illness. The patient had been
treated by his doctor for juvenile chronic arthritis with diclofenac
sodium and low dose prednisone for six months without any improvement.
General physical and systemic examinations were entirely normal. Joint
examination showed firm swelling of the PIP joints. No
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