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Spontaneous tendon rupture in a patient with systemic sclerosis: a case report

BACKGROUND: Systemic sclerosis (SSc) is an incurable autoimmune disease characterized by progressive skin fibrosis and organ failure. Tenosynovitis is a common musculoskeletal manifestation, but tendon rupture has seldom reported in SSc. CASE PRESENTATION: We present a rare case of a 49-year-old fem...

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Autores principales: Lin, Cong, Shen, Jun, Jiang, Zhixing, Cheng, Yi, Shen, Yundong, Ren, Guoqiang, Xu, Wendong, Wan, Weiguo, Cao, Ling, Zou, Hejian, Zhu, Xiaoxia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9682771/
https://www.ncbi.nlm.nih.gov/pubmed/36419049
http://dx.doi.org/10.1186/s12891-022-05967-6
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author Lin, Cong
Shen, Jun
Jiang, Zhixing
Cheng, Yi
Shen, Yundong
Ren, Guoqiang
Xu, Wendong
Wan, Weiguo
Cao, Ling
Zou, Hejian
Zhu, Xiaoxia
author_facet Lin, Cong
Shen, Jun
Jiang, Zhixing
Cheng, Yi
Shen, Yundong
Ren, Guoqiang
Xu, Wendong
Wan, Weiguo
Cao, Ling
Zou, Hejian
Zhu, Xiaoxia
author_sort Lin, Cong
collection PubMed
description BACKGROUND: Systemic sclerosis (SSc) is an incurable autoimmune disease characterized by progressive skin fibrosis and organ failure. Tenosynovitis is a common musculoskeletal manifestation, but tendon rupture has seldom reported in SSc. CASE PRESENTATION: We present a rare case of a 49-year-old female with SSc who has suffered from bilateral tendon rupture of the fourth and fifth digits with positive antinuclear antibody (ANA) and anti-centromere B antibody, but negative rheumatoid factor in serum. In the extensor tendons of the patient’s hands, inflammation, edema, hypertrophy and tendon interruption were detected with ultrasound and magnetic resonance imaging(MRI). Tendon transfer repair surgery was performed and 10 mg/week methotrexate was then used in this patient. Her hand function was improved well with methotrexate and rehabilitation treatment postoperatively. CONCLUSIONS: Early detection of tenosynovitis is necessary to prevent tendon rupture in SSc patients. Ultrasound and Magnetic Resonance Imaging appear to be useful examinations for evaluating tendon pathology for early detection.
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spelling pubmed-96827712022-11-24 Spontaneous tendon rupture in a patient with systemic sclerosis: a case report Lin, Cong Shen, Jun Jiang, Zhixing Cheng, Yi Shen, Yundong Ren, Guoqiang Xu, Wendong Wan, Weiguo Cao, Ling Zou, Hejian Zhu, Xiaoxia BMC Musculoskelet Disord Case Report BACKGROUND: Systemic sclerosis (SSc) is an incurable autoimmune disease characterized by progressive skin fibrosis and organ failure. Tenosynovitis is a common musculoskeletal manifestation, but tendon rupture has seldom reported in SSc. CASE PRESENTATION: We present a rare case of a 49-year-old female with SSc who has suffered from bilateral tendon rupture of the fourth and fifth digits with positive antinuclear antibody (ANA) and anti-centromere B antibody, but negative rheumatoid factor in serum. In the extensor tendons of the patient’s hands, inflammation, edema, hypertrophy and tendon interruption were detected with ultrasound and magnetic resonance imaging(MRI). Tendon transfer repair surgery was performed and 10 mg/week methotrexate was then used in this patient. Her hand function was improved well with methotrexate and rehabilitation treatment postoperatively. CONCLUSIONS: Early detection of tenosynovitis is necessary to prevent tendon rupture in SSc patients. Ultrasound and Magnetic Resonance Imaging appear to be useful examinations for evaluating tendon pathology for early detection. BioMed Central 2022-11-22 /pmc/articles/PMC9682771/ /pubmed/36419049 http://dx.doi.org/10.1186/s12891-022-05967-6 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis 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
Lin, Cong
Shen, Jun
Jiang, Zhixing
Cheng, Yi
Shen, Yundong
Ren, Guoqiang
Xu, Wendong
Wan, Weiguo
Cao, Ling
Zou, Hejian
Zhu, Xiaoxia
Spontaneous tendon rupture in a patient with systemic sclerosis: a case report
title Spontaneous tendon rupture in a patient with systemic sclerosis: a case report
title_full Spontaneous tendon rupture in a patient with systemic sclerosis: a case report
title_fullStr Spontaneous tendon rupture in a patient with systemic sclerosis: a case report
title_full_unstemmed Spontaneous tendon rupture in a patient with systemic sclerosis: a case report
title_short Spontaneous tendon rupture in a patient with systemic sclerosis: a case report
title_sort spontaneous tendon rupture in a patient with systemic sclerosis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9682771/
https://www.ncbi.nlm.nih.gov/pubmed/36419049
http://dx.doi.org/10.1186/s12891-022-05967-6
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