Subject(s)
Adult , Antitubercular Agents/therapeutic use , Female , Foot Joints/pathology , Foot Joints/diagnostic imaging , Hand Joints/pathology , Hand Joints/diagnostic imaging , Humans , Tuberculosis, Cutaneous/drug therapy , Tuberculosis, Cutaneous/pathology , Tuberculosis, Cutaneous/diagnostic imagingABSTRACT
Polyfibromatosis syndrome is a rare disease entity that is characterized by various clinical features such as palmar, plantar, and penile fibromatoses, keloid formations of the skin, and erosive arthropathy. Its precise pathophysiology or etiology remains unclear. In addition to distinctive diverse skin manifestations, patients with polyfibromatosis have been previously reported to show erosive arthropathy with significant limitation of movement at affected joints. However, the presence of erosive polyarthropathy in polyfibromatosis has not emphasized in previous cases. Here, we report a case of polyfibromatosis syndrome combined with painless massive structural destruction of hand and foot joints, and review the characteristics of erosive arthropathy in previous cases.
Subject(s)
Adult , Humans , Male , Arthrography , Diagnosis, Differential , Fibroma/diagnosis , Foot Joints/pathology , Hand Joints/pathology , Magnetic Resonance Imaging , Metacarpophalangeal Joint/pathology , Osteolysis/diagnosisABSTRACT
Tumores benignos são responsáveis pela maioria das lesões tumorais nos pés. Neuroma de Morton, fasciite plantar e nódulos reumatóides respondem por 60% a 70% de todas estas doenças. Usualmente, mono-artrite na face plantar dos pés de caráter mecânico induz em mulheres jovens aos diagnósticos referidos. O cisto epidermóide, apesar de ser uma lesão benigna, não é lembrado no diagnóstico diferencial de nódulos dolorosos nos pés. O conhecimento dos achados patológicos destas lesões extra-articulares nos pés ajuda na interpretação da ressonância magnética (RM)