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Mod Rheumatol. 2002 Mar;12(1):69-71. doi: 10.3109/s101650200011.

A case of systemic lupus erythematosus associated with trigger wrist.

Modern rheumatology

K Ohtani, K Fukuda, C Hamanishi

Affiliations

  1. Department of Orthopaedic Surgery, Kinki University School of Medicine , 377-2 Ohnohigashi, Osaka-sayama 589-8511 , Japan.

PMID: 24383835 DOI: 10.3109/s101650200011

Abstract

Abstract A 54-year-old woman complained of a painful, swollen, and clicking left wrist for 1 year. She had an 8-year history of systemic lupus erythematosus (SLE), treated with oral prednisolone. Flexion and extension of all fingers were difficult to initiate on wrist extension, and movement was accompanied by a palpable click at the wrist. Magnetic resonance imaging (MRI) and tenography revealed the expanded sheath of the flexor tendons and well-defined round free bodies known as rice bodies. Synovectomy and excision of rice bodies resulted in complete disappearance of swelling and triggering of the wrist.

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