Symmetrical fusiform swellings around the proximal interphalangeal joints
نویسندگان
چکیده
A 15-year-old, otherwise healthy boy presented with 2-yearhistory of swelling and thickening localized to the lateral aspects of his fingers. Dermatological examination revealed fusiform soft tissue swelling on the lateral and medial aspects of the second to fourth proximal interphalangeal (PIP) joints of both hands (Figure 1). There was no arthralgia or limited range of motion. Rheumatological examination was otherwise normal. There was no history of repetitive trauma, tick-like habits or any mental disorders. Laboratory tests, including routine biochemistry, thyroid function tests, and rheumatologic markers, disclosed no abnormalities. An MRI and X-ray examination was normal except for soft tissue hypertrophy around the affected joints (Figure 2).
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