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Images in rheumatology
Clinical image: bone erosions in a young man
  1. Léa Bastard1,
  2. Benjamin Hagege1,
  3. Maxime Breban1,2,
  4. Hélène Gouze1
  1. 1 Rheumatology Department, Hospital Ambroise-Pare, Boulogne-Billancourt, France
  2. 2 Infection & Inflammation, UMR 1173, Inserm, UVSQ/ Paris Saclay, Montigny-le-Bretonneux, France
  1. Correspondence to Dr Hélène Gouze, Hospital Ambroise-Pare Rheumatology Department, Boulogne-Billancourt, Île-de-France, France; helene.gouze{at}aphp.fr

https://doi.org/10.1136/annrheumdis-2022-222609

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    A previously healthy 22-year-old man presented with bone and joint pain progressively increasing over 12 months, localised on forearms and legs. One year before, he had suffered from desquamating skin lesions on both hands, which had spontaneously regressed. He had lost 10 kg since his first skeletal symptoms with no other general signs such as fever. There was no heel pain, dactylitis, psoriasis, transit disorder or genital infection preceding the symptoms. Clinical palpation reproduced bone and joint pain. No signs of systemic disease were found.

    Standard laboratory examinations showed an inflammatory syndrome with C reactive protein of 29 mg/L, erythrocyte sedimentation rate of 54 mm.

    X-rays of the long bones …

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    Footnotes

    • Handling editor Josef S Smolen

    • Contributors LB and HG prepared the clinical image and the medical description of the case. All the authors were in charge of the patient during his hospitalisation, and BH was in charge of the patient follow-up and provided information on the patient’s evolution. LB, HG, BH and MB discussed the manuscript and contributed to the final manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.