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Scholars Journal of Medical Case Reports | Volume-9 | Issue-02
Rapidly Ongoing Acroosteolysis in Rheumatoid Arthritis: A Case Report
Habibi Leila, Imane El Bouchti
Published: Feb. 11, 2021 | 120 80
DOI: 10.36347/sjmcr.2021.v09i02.006
Pages: 132-134
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Abstract
Acroosteolysis refers to a destructive process involving parts of the distal phalynx of fingers or toes that may extend to metacarpals or metatarsals. Rarely primary or idiopathic, it is often acquired and requires an etiological investigation. Rheumatoid arthritis (RA) is an exceptional etiology of acroosteolysis occuring as a result of rheumatoid vasculitis, peripheral neuropathy or the extension of distal interphalangeal joint damage. We report the case of a 50-year-old female patient with history of diabetes mellitus and seropositive and erosive RA evolving for 8 years, currently active. The recent radiological assessment showed osteolysis of the distal phalanges of both hands, mainly the left one, with a negative etiological investigation, therefore reviving the debate on the Acroosteolysis-Rheumatoid arthritis association.