Spontaneous Achilles Tendon Rupture in a Patient with Ankylosing Spondylitis.
Journal of Rheumatic Diseases.2016;23(2):136-138. doi:10.4078/jrd.2016.23.2.136
Journal of Rheumatic Diseases
2002 (v1, n1) to Present ISSN: 1671-8925
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Discovery of Splenic Sarcoidosis Concurrent with the Diagnosis of Ovarian Cancer: A Case Report.
Journal of Rheumatic Diseases.2016;23(2):130-135. doi:10.4078/jrd.2016.23.2.130
Sarcoidosis is a multisystem inflammatory disease of unknown etiology characterized by noncaseating epithelioid granuloma formation. Although the relationship between sarcoidosis and malignancy has been noted in recent decades, there are few case reports describing the concurrent diagnosis of sarcoidosis and malignancy. Herein, we describe a case of biopsy-proven splenic sarcoidosis mimicking metastasis at the time of ovarian adenocarcinoma. Imaging studies including positron-emission tomography-computed tomography were not useful for differentiating sarcoidosis from malignancy. Thus, our case highlights the importance of histopathological examination to rule out nonmalignant conditions before the diagnosis of metastatic disease is made.
Adenocarcinoma ; Diagnosis* ; Granuloma ; Neoplasm Metastasis ; Ovarian Neoplasms* ; Positron-Emission Tomography ; Sarcoidosis*
Adenocarcinoma ; Diagnosis* ; Granuloma ; Neoplasm Metastasis ; Ovarian Neoplasms* ; Positron-Emission Tomography ; Sarcoidosis*
A Case of Acute Calcium Pyrophosphate Crystal Arthritis in the Lumbar Facet Joint.
Journal of Rheumatic Diseases.2016;23(2):125-129. doi:10.4078/jrd.2016.23.2.125
Calcium pyrophosphate dihydrate deposition disease most commonly presents with acute arthritis of the peripheral joints. Infrequently, a mass effect of this disease can cause axial symptoms, such as spinal stenosis, radiculopathy, or myelopathy. Herein, we report on the first Korean case of acute arthritis in the lumbar facet joint due to calcium pyrophosphate dihydrate crystal deposition disease. A 73-year-old female presented with acute fever, severe lumbago, and knee arthralgia, 11 days after partial parathyroidectomy. Plain radiographs showed multiple chondrocalcinosis, while a bone scan, computed tomography, and magnetic resonance imaging showed right L5-S1 facet arthritis. In synovial fluid from the facet and knee joints, positively birefringent calcium pyrophosphate dihydrate crystals were observed under polarized light microscopy. Under the diagnosis of acute calcium pyrophosphate dihydrate crystal arthritis (formerly known as 'pseudogout') in the facet joint, an intra-articular triamcinolone injection was administered, which resulted in dramatic improvement of the symptoms within 24 hours.
Aged ; Arthralgia ; Arthritis* ; Calcium Pyrophosphate* ; Calcium* ; Chondrocalcinosis ; Diagnosis ; Female ; Fever ; Humans ; Joints ; Knee ; Knee Joint ; Low Back Pain ; Magnetic Resonance Imaging ; Microscopy, Polarization ; Parathyroidectomy ; Radiculopathy ; Spinal Cord Diseases ; Spinal Stenosis ; Synovial Fluid ; Triamcinolone ; Zygapophyseal Joint*
Aged ; Arthralgia ; Arthritis* ; Calcium Pyrophosphate* ; Calcium* ; Chondrocalcinosis ; Diagnosis ; Female ; Fever ; Humans ; Joints ; Knee ; Knee Joint ; Low Back Pain ; Magnetic Resonance Imaging ; Microscopy, Polarization ; Parathyroidectomy ; Radiculopathy ; Spinal Cord Diseases ; Spinal Stenosis ; Synovial Fluid ; Triamcinolone ; Zygapophyseal Joint*
Acute Pseudogout of the Neck: "Crowned Dens" Revisited.
Journal of Rheumatic Diseases.2016;23(2):122-124. doi:10.4078/jrd.2016.23.2.122
Calcium pyrophosphate dihydrate crystal deposition disease is associated with an acute mono- or pauciarthritis, termed "pseudogout" in elderly patients, involving a large joint (including the knees, ankles) or a chronic arthropathy manifesting as mild joint pain and stiffness. Pseudogout is a crystal-deposition disease of peripheral joints, usually encountered in elderly patients. However, acute presentation of pseudogout around the odontoid process comprises a "crowned-dens" appearance, and requires contemplation of differential diagnoses. We recently experienced a case of pseudogout in the cervical spine presenting with fever and acute neck pain that was successfully treated with a colchicine and low-dose oral steroid. We reported this case with a review of the relevant literature.
Aged ; Arthralgia ; Calcium Pyrophosphate ; Chondrocalcinosis* ; Colchicine ; Diagnosis, Differential ; Fever ; Humans ; Joints ; Knee ; Neck Pain ; Neck* ; Odontoid Process ; Spine
Aged ; Arthralgia ; Calcium Pyrophosphate ; Chondrocalcinosis* ; Colchicine ; Diagnosis, Differential ; Fever ; Humans ; Joints ; Knee ; Neck Pain ; Neck* ; Odontoid Process ; Spine
Journal of Rheumatic Diseases.2016;23(5):332-335. doi:10.4078/jrd.2016.23.5.332
Serotonin syndrome, an adverse drug reaction, is a consequence of excess serotonergic agonism of central nervous system receptors and peripheral serotonergic receptors. Serotonin syndrome has been associated with large numbers of drugs and drug combinations, and serotonin-norepinephrine reuptake inhibitor-induced serotonin syndrome is rare. It is often described as a sign of excess serotonin ranging from tremor in mild cases to delirium, neuromuscular rigidity, and hyperthermia in life-threatening cases. Diagnosis is based on the symptoms and patient's history, and several diagnostic criteria have been developed. We experienced a rare case of fibromyalgia accompanied by tremor, hyperreflexia, spontaneous clonus, muscle rigidity, and diaphoresis after 10 days of single use of duloxetine 30 mg. Only one case of serotonin syndrome resulting from administration of duloxetine has been reported in Korea, however that case resulted from co-administration of fluoxetine. We report here on this case along with a review of the relevant literature.
Central Nervous System ; Delirium ; Diagnosis ; Drug Combinations ; Drug-Related Side Effects and Adverse Reactions ; Duloxetine Hydrochloride* ; Felodipine ; Fever ; Fibromyalgia* ; Fluoxetine ; Humans ; Korea ; Muscle Rigidity ; Reflex, Abnormal ; Serotonin Syndrome* ; Serotonin* ; Tremor
Central Nervous System ; Delirium ; Diagnosis ; Drug Combinations ; Drug-Related Side Effects and Adverse Reactions ; Duloxetine Hydrochloride* ; Felodipine ; Fever ; Fibromyalgia* ; Fluoxetine ; Humans ; Korea ; Muscle Rigidity ; Reflex, Abnormal ; Serotonin Syndrome* ; Serotonin* ; Tremor
A Case of a Central Retinal Artery Occlusion in a Patient with Rheumatoid Arthritis.
Journal of Rheumatic Diseases.2016;23(5):326-331. doi:10.4078/jrd.2016.23.5.326
A 50-year-old woman, who had been treated for rheumatoid arthritis (RA) over a 10-year period, suddenly presented with monocular vision loss while the RA had a stable course over many years. She was diagnosed with central retinal artery occlusion (CRAO) based on ophthalmologic examinations including optical coherence tomography and fluorescein angiography. There was no evidence of atherosclerosis, infection, and malignancy that can cause CRAO. Considering the association between CRAO and other rheumatic diseases, such as systemic vasculitis and systemic lupus erythematous in previous reports, it was presumed that her RA might have contributed to the development of CRAO. Although cases of CRAO in patients with RA are extremely rare, these findings suggest that physicians need to be aware of the possibility of CRAO in patients with RA who experience decreased visual acuity.
Arthritis, Rheumatoid* ; Atherosclerosis ; Female ; Fluorescein Angiography ; Humans ; Middle Aged ; Retinal Artery Occlusion* ; Retinal Artery* ; Rheumatic Diseases ; Systemic Vasculitis ; Tomography, Optical Coherence ; Vision, Monocular ; Visual Acuity
Arthritis, Rheumatoid* ; Atherosclerosis ; Female ; Fluorescein Angiography ; Humans ; Middle Aged ; Retinal Artery Occlusion* ; Retinal Artery* ; Rheumatic Diseases ; Systemic Vasculitis ; Tomography, Optical Coherence ; Vision, Monocular ; Visual Acuity
Journal of Rheumatic Diseases.2016;23(5):321-325. doi:10.4078/jrd.2016.23.5.321
Intra-articular hyaluronic acid injections for symptomatic treatment of osteoarthritis are widely used but can result in complications, such as infectious arthritis. Staphylococcus lugdunensis is a common normal skin flora but can cause severe infectious disease, such as infective endocarditis. We present the first report of infectious arthritis caused by methicillin-sensitive S. lugdunensis after intra-articular hyaluronic acid injection in an immunocompromised patient in Korea.
Arthritis, Infectious* ; Arthritis, Rheumatoid* ; Communicable Diseases ; Diabetes Mellitus* ; Endocarditis ; Humans ; Hyaluronic Acid* ; Immunocompromised Host ; Korea ; Osteoarthritis ; Skin ; Staphylococcus lugdunensis* ; Staphylococcus*
Arthritis, Infectious* ; Arthritis, Rheumatoid* ; Communicable Diseases ; Diabetes Mellitus* ; Endocarditis ; Humans ; Hyaluronic Acid* ; Immunocompromised Host ; Korea ; Osteoarthritis ; Skin ; Staphylococcus lugdunensis* ; Staphylococcus*
Journal of Rheumatic Diseases.2016;23(5):316-320. doi:10.4078/jrd.2016.23.5.316
Rice bodies are materials with an amorphous nucleus and a fibrin layer found floating in the synovial space and bursa. These bodies have often been detected in patients with rheumatoid arthritis, tuberculous arthritis, and bursitis. Although the etiology and pathogenesis of rice bodies are not yet fully understood, it has been hypothesized that they might be caused by chronic inflammation originating from the synovium. However, we report on a case of idiopathic massive rice bodies in the knee joint without evidence of inflammatory articular disease or infection including rheumatoid arthritis, seronegative spondyloarthritides, tuberculosis, or bacterial or fungal infection.
Arthritis ; Arthritis, Rheumatoid* ; Bursitis ; Fibrin ; Humans ; Inflammation ; Knee Joint* ; Knee* ; Synovial Membrane ; Tuberculosis*
Arthritis ; Arthritis, Rheumatoid* ; Bursitis ; Fibrin ; Humans ; Inflammation ; Knee Joint* ; Knee* ; Synovial Membrane ; Tuberculosis*
Tuberculous Osteomyelitis of the First Metatarsophalangeal Joint Misdiagnosed as Gouty Arthritis.
Journal of Rheumatic Diseases.2016;23(5):311-315. doi:10.4078/jrd.2016.23.5.311
A-43-year-old man visited our clinic due to pain and swelling of his left first metatarsophalangeal (MTP) joint since 6-months ago. He was diagnosed as gouty arthritis at private clinic and took hypouricemic agent, but he had progressive pain and swelling. There was swelling, erythema and tenderness and ulceration at base of the left first MTP joint. His laboratory results showed elevated C-reactive protein and normal serum uric acid level. The plain radiograph of foot showed bone destruction of left first MTP joint. MRI revealed joint space narrowing, soft tissue swelling and subchondral cyst. He underwent excisional biopsy and histology demonstrated chronic granulomatous inflammation with caseation necrosis. Tissue polymerase chain reaction for mycobacterium tuberculosis was positive. He was diagnosed as tuberculous osteomyelitis. He started on quadruple anti-tuberculous therapy and his symptom was improved. Early diagnosis and anti-tuberculosis therapy could lead to improve outcomes.
Arthritis, Gouty* ; Biopsy ; Bone Cysts ; C-Reactive Protein ; Early Diagnosis ; Erythema ; Foot ; Gout ; Inflammation ; Joints ; Magnetic Resonance Imaging ; Metatarsophalangeal Joint* ; Mycobacterium tuberculosis ; Necrosis ; Osteomyelitis* ; Polymerase Chain Reaction ; Tuberculosis ; Ulcer ; Uric Acid
Arthritis, Gouty* ; Biopsy ; Bone Cysts ; C-Reactive Protein ; Early Diagnosis ; Erythema ; Foot ; Gout ; Inflammation ; Joints ; Magnetic Resonance Imaging ; Metatarsophalangeal Joint* ; Mycobacterium tuberculosis ; Necrosis ; Osteomyelitis* ; Polymerase Chain Reaction ; Tuberculosis ; Ulcer ; Uric Acid
Association between Sugar-Sweetened Beverage Consumption and the Risk of Gout: A Meta-Analysis.
Journal of Rheumatic Diseases.2016;23(5):304-310. doi:10.4078/jrd.2016.23.5.304
OBJECTIVE: The aim of this study was to analyze published data for an association between consumption of sugar sweetened beverages (SSBs) and the development of gout. METHODS: We performed a meta-analysis to examine the highest and lowest categories of SSB consumption in relation to risk of gout. RESULTS: Three studies including 2,606 gout patients among 134,008 participants were included. Meta-analysis revealed a significant association between SSB consumption and gout risk (relative risk [RR]=1.986, 95% confidence interval [CI]=1.447~2.725, p=2.2×10⁻⁵). Stratification by ethnicity showed a significant association between SSB consumption and gout risk in ethnic Europeans, but not in Polynesians (RR=2.110, 95% CI=1.470~ 2.725, p=5.1×10⁻⁵; RR=1.624, 95% CI=0.842~3.135, p=0.148, respectively). SSB consumption and gout risk were associated in original data and imputed data, for both men and women, regardless of data type and sex. The association between the highest SSB consumption group and gout was stronger than the association between the middle group and gout, indicating a dose-response gradient (RR=1.986, 95% CI=1.447~2.725, p<2.2×10⁻⁵ vs. RR=1.260, 95% CI=1.043~1.522, p<0.016). CONCLUSION: This meta-analysis of 134,008 participants demonstrates that SSB consumption is associated with an elevated risk of gout development, particularly in the ethnic European population. Available evidence indicates a dose-response gradient of the relationship between SSB consumption and gout risk.
Beverages* ; Female ; Gout* ; Humans ; Male
Beverages* ; Female ; Gout* ; Humans ; Male
Country
Republic of Korea
Publisher
Korean College of Rheumatology
ElectronicLinks
http://www.jrd.or.kr/Editor-in-chief
Jae-Bum Jun
rheumatism1@korea.com
Abbreviation
J Rheum Dis
Vernacular Journal Title
ISSN
2093-940X
EISSN
2233-4718
Year Approved
2009
Current Indexing Status
Currently Indexed
Start Year
1994
Description
The Journal of Rheumatic Diseases (JRD) is an official journal of the Korean College of Rheumatology published in both Korean and English. This journal's title has been changed from "The Journal of the Korean Rheumatism Association" in 1994 ~2010. This journal covers all aspects of rheumatic and musculoskeletal diseases and publishes peer-reviewed articles. JRD is published by Medrang, and is available online via http://www.rheum.or.kr. Both clinical and basic researches are welcome, as are new findings on the epidemiology, pathogenesis, diagnosis, treatment, and prevention of diseases
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