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Acquired Fusiform Swelling of the Fingers—Quiz Case
Mireia Yébenes, MD;
Xavier García, MD;
Montserrat Gilaberte, MD
Hospital del Mar, Barcelona, Spain
Arch Dermatol. 2005;141:1035-1040.
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REPORT OF A CASE
A 19-year-old man presented with a 3-year history of bilateral, painless, fusiform swelling of the medial and lateral aspects of all fingers. The swelling did not affect finger movement. The patient had no history of significant trauma, pain, or arthritic symptoms and no family history of similar findings. Physical examination revealed firm thickening of the lateral aspects of the second through fifth proximal interphalangeal joints of both hands (Figure 1 and Figure 2). The thumbs, palms, and soles were spared. No joint hyperlaxity was present.
Figure appears in full text version.
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Baseline laboratory studies, including a complete blood cell count, a serum chemistry profile, and liver and kidney function tests, as well as angiotensin-converting enzyme levels, revealed no abnormalities. Radiography and magnetic resonance imaging of the hands showed only soft tissue swelling, without any bone or joint involvement. The findings of . . . [Full Text of this Article]
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Acquired Fusiform Swelling of the Fingers—Diagnosis
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