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Letter
Fibroblastic rheumatism: a Scandinavian case report
  1. J K Pedersen1,
  2. T Poulsen2,
  3. K Hørslev-Petersen1
  1. 1Kong Christian X’s Gigthospital, Department of Rheumatology, Toldbodgade 3, 6300 Graasten, Denmark
  2. 2Department of Pathology, Sønderborg Hospital, Sydvang 1, 6400 Sønderborg, Denmark
  1. Correspondence to:
    Associate Professor K Hørslev-Petersen
    khorslevpetersengigtforeningen.dk

https://doi.org/10.1136/ard.2003.008441

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    Fibroblastic rheumatism (FR) is a rare disorder of unknown cause first described in 1980.1 We here report the first Scandinavian patient with FR.

    CASE REPORT

    A 55 year old Danish woman was referred to our department in July 2000 with a 2½ year history of pain in the proximal interphalangeal (PIP) joints, knees, and ankles. The pain worsened over night and upon exercise. On examination, the right knee and the second PIP joint on the left hand were tender and swollen. The other PIP joints and both wrists were tender. On both hands there were several pink, 3–10 mm, tender and mobile skin nodules (fig 1), and a 20 mm nodule under the left foot.

    Figure 1

     Skin nodules adjacent to the second metacarpophalangeal, distal interphalangeal, and third PIP joints on the right hand.

    All laboratory investigations were normal, …

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