A rare giant geode of humeral head in an uncontrolled rheumatoid arthritis: a case report

INTRODUCTION: Rheumatoid Arthritis (RA) is a chronic inflammatory disease depicted by peripheral bone erosive damage leading to joint destruction, deformity and functional impairment. Shoulder involvement is less frequent than hands, wrists and feet, and relevant joint damage may be underdiagnosed i...

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Autores principales: Pirola, Fernanda Junqueira Cesar, Dório, Murillo, Fuller, Ricardo, Cobra, Jayme Fogagnolo, Sales, Lucas Peixoto, Figueiredo, Camille Pinto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10347715/
https://www.ncbi.nlm.nih.gov/pubmed/37452411
http://dx.doi.org/10.1186/s12891-023-06695-1
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author Pirola, Fernanda Junqueira Cesar
Dório, Murillo
Fuller, Ricardo
Cobra, Jayme Fogagnolo
Sales, Lucas Peixoto
Figueiredo, Camille Pinto
author_facet Pirola, Fernanda Junqueira Cesar
Dório, Murillo
Fuller, Ricardo
Cobra, Jayme Fogagnolo
Sales, Lucas Peixoto
Figueiredo, Camille Pinto
author_sort Pirola, Fernanda Junqueira Cesar
collection PubMed
description INTRODUCTION: Rheumatoid Arthritis (RA) is a chronic inflammatory disease depicted by peripheral bone erosive damage leading to joint destruction, deformity and functional impairment. Shoulder involvement is less frequent than hands, wrists and feet, and relevant joint damage may be underdiagnosed if a lower threshold for careful analysis of this joint is not settled, especially in uncontrolled disease. CASE REPORT: A 70-year-old male with a difficult-to-manage RA since 2010, presenting severe shoulder arthritis with MRI showing a striking giant geode in the left humeral head. CONCLUSION: An impressive MRI image showing a giant geode in poorly controlled RA should alert rheumatologists to raise suspicion of shoulder involvement for early investigation and treatment.
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spelling pubmed-103477152023-07-15 A rare giant geode of humeral head in an uncontrolled rheumatoid arthritis: a case report Pirola, Fernanda Junqueira Cesar Dório, Murillo Fuller, Ricardo Cobra, Jayme Fogagnolo Sales, Lucas Peixoto Figueiredo, Camille Pinto BMC Musculoskelet Disord Case Report INTRODUCTION: Rheumatoid Arthritis (RA) is a chronic inflammatory disease depicted by peripheral bone erosive damage leading to joint destruction, deformity and functional impairment. Shoulder involvement is less frequent than hands, wrists and feet, and relevant joint damage may be underdiagnosed if a lower threshold for careful analysis of this joint is not settled, especially in uncontrolled disease. CASE REPORT: A 70-year-old male with a difficult-to-manage RA since 2010, presenting severe shoulder arthritis with MRI showing a striking giant geode in the left humeral head. CONCLUSION: An impressive MRI image showing a giant geode in poorly controlled RA should alert rheumatologists to raise suspicion of shoulder involvement for early investigation and treatment. BioMed Central 2023-07-14 /pmc/articles/PMC10347715/ /pubmed/37452411 http://dx.doi.org/10.1186/s12891-023-06695-1 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Pirola, Fernanda Junqueira Cesar
Dório, Murillo
Fuller, Ricardo
Cobra, Jayme Fogagnolo
Sales, Lucas Peixoto
Figueiredo, Camille Pinto
A rare giant geode of humeral head in an uncontrolled rheumatoid arthritis: a case report
title A rare giant geode of humeral head in an uncontrolled rheumatoid arthritis: a case report
title_full A rare giant geode of humeral head in an uncontrolled rheumatoid arthritis: a case report
title_fullStr A rare giant geode of humeral head in an uncontrolled rheumatoid arthritis: a case report
title_full_unstemmed A rare giant geode of humeral head in an uncontrolled rheumatoid arthritis: a case report
title_short A rare giant geode of humeral head in an uncontrolled rheumatoid arthritis: a case report
title_sort rare giant geode of humeral head in an uncontrolled rheumatoid arthritis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10347715/
https://www.ncbi.nlm.nih.gov/pubmed/37452411
http://dx.doi.org/10.1186/s12891-023-06695-1
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