Hands Deformity in a Patient with IgA Vasculitis

Konstantinos Ntelis; George Iliopoulos; George Giannopoulos

doi:10.31138/mjr.33.2.259

Hands Deformity in a Patient with IgA Vasculitis

Mediterr J Rheumatol. 2022 Jun 30;33(2):259-260. doi: 10.31138/mjr.33.2.259. eCollection 2022 Jun.

Authors

Konstantinos Ntelis¹, George Iliopoulos², George Giannopoulos³

Affiliations

¹ Private Practice, Kalamata, Greece.
² Division of Rheumatology, Department of Internal Medicine, Patras, University Hospital, University of Patras Medical School, Patras, Greece.
³ Rheumatology Unit, Alexandra General Hospital, Faculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece.

Abstract

74-year-old female patient with IgA vasculitis was referred for rheumatic evaluation due to arthritic complaints and hand deformities. Physical examination revealed reversible Jaccoud's arthropathy in both hands, with swan-neck type deformities, while no erosions were present in the X-Ray. Jaccoud's arthropathy is mainly observed can be present in patients with in Rheumatic Fever, Systemic Lupus Erythematosus, and Sjogren's syndrome. The absence of erosions distinguishes this entity from rheumatoid arthritis. There is no specific treatment other than the treatment of the underlying disease.

Keywords: Henoch–Schönlein purpura; IgA vasculitis; Jaccoud’s arthropathy.

Publication types

Case Reports