© 2003 by BMJ Publishing Group & European League Against Rheumatism
LESSON OF THE MONTH
"Monarthritis" in a young man
Series editor: Anthony D Woolf
1 Department of Rheumatology, Royal Victoria Hospital, Belfast, Northern Ireland, UK
2 Department of Radiology, Musgrave Park Hospital, Belfast, Northern Ireland, UK
Correspondence to:
Correspondence to:
Dr A P Cairns, Department of Rheumatology, Musgrave Park Hospital, Stockman’s Lane, Belfast BT9 7JB, Northern Ireland, UK;
andrewcairns@doctors.org.uk
Accepted 8 April 2003
Keywords: magnetic resonance imaging; monarthritis; osteoid osteoma; synovitis; talus
| The first 150 words of the full text of this article appear below. |
A 20 year old male university student presented with a one year history of a stiff painful swollen left ankle. He described morning stiffness of one hour and also night pain which occasionally kept him awake. He was unable to take part in sporting activities. There was no history of trauma. No other joints were painful. There was no history of back or heel pain, psoriasis, iritis, urethritis, or inflammatory bowel disease. There was no history of preceding gastrointestinal or genitourinary infection. He had had an episode of Stevens-Johnson syndrome at the age of 12 (but no recent skin or mouth lesions) and occasional migraine headaches. His health was otherwise good. There was no history of weight loss. Non-steroidal anti-inflammatory drugs provided more symptomatic relief than simple analgesics. His grandmother had rheumatoid arthritis. There was no other significant family history. Clinical examination demonstrated a large warm ankle effusion with generalised
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