Article Text

Frostbite arthritis
  1. J E Kahn1,
  2. O Lidove2,
  3. J D Laredo3,
  4. O Blétry1
  1. 1Department of Internal Medicine, Foch Hospital, 40 rue Worth, 92150 Suresnes, France
  2. 2Department of Internal Medicine, Bichat-Claude Bernard Hospital, 46 rue Henri Huchard, 75877 Paris Cedex 18, France
  3. 3Department of Skeletal Radiology, Lariboisière Hospital, 2 rue Ambroise-Paré, 75475 Paris Cedex 10, France
  1. Correspondence to:
    Dr J E Kahn
    je.kahnhopital-foch.org

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A 46 year old black woman, born in Haiti, was admitted in 1999 owing to bilateral and symmetric arthritis of the hands. Her past history was unremarkable. She had lived in New York in the 1970s, where she sustained an episode of severe frostbite in 1977 while staying outside for 1 hour at a temperature of −20°C without protection. Frostbite affected all fingers but not the thumbs, requiring admission to hospital for 11 days (amputation of some fingers was discussed at this time).

She had complained about arthritis affecting the interphalangeal (IP) joints since 1994, without extra-articular involvement or fever. Progressive joint deformations appeared at this time. Clinical examination was normal except for proximal IP joint deformation.

Routine laboratory tests, immunological tests (antinuclear antibodies, rheumatoid …

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