© 2005 by BMJ Publishing Group Ltd & European League Against Rheumatism
UNUSUAL AND MEMORABLE
Case number 32: Thiemann’s disease
Department of Rheumatology, The Royal London Hospital, Bancroft Road, London E1 4DG, UK
Correspondence to:
Correspondence to:
Dr A S M Jawad
alismjawad1@hotmail.com
Keywords: Thiemann’s disease
| The first 150 words of the full text of this article appear below. |
A 19 year old man attended hospital after his recent discharge from the navy owing to his hand arthropathy. His symptoms began aged 14 years with swelling but no pain or disability of his distal interphalangeal (DIP) and proximal interphalangeal (PIP) finger joints. At the age of 17 he joined the navy and 1 year later began to experience considerable pain in his hands while carrying out his duties. He was reassigned and after 3 months of light duties was symptom free, although his joints remained swollen and deformed (fig 1
). Flexion at the PIP and DIP joints was limited (fig 2), and the hands were functionally normal with an average grip and pinch strength. He continued to work as a gardener with no joint symptoms. Both his father and paternal grandfather had had the same condition.
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Figure 1 The PIP and DIP joints of the fingers of both hands | |||||||||
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