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Reminder of important clinical lesson
CASE REPORT
Erosive rheumatoid arthritis in a young patient with mirror hand
  1. Ali Sibtain Farooq Sheikh1 and
  2. Ernest Wong2
  1. 1 Rheumatology, Furness General Hospital, Barrow-in-Furness, UK
  2. 2 Rheumatology, Queen Alexandra Hospital, Portsmouth, UK
  1. Correspondence to Dr Ali Sibtain Farooq Sheikh, asfsheikh{at}gmail.com

Abstract

Mirror hand is a congenital anomaly characterised by duplication of the ulnar ray, resulting in polydactyly and functional disability of the hand. It can cause arthralgias and weakness in intrinsic muscles of the hand. We present a young woman who had a surgically corrected mirror hand and subsequently developed aggressive rheumatoid arthritis, which increased her limitations to a significant degree. Early diagnosis and treatment in such cases is very important to prevent long-term disability.

  • rheumatoid arthritis
  • biological agents

https://doi.org/10.1136/bcr-2018-227739

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    Footnotes

    • Contributors ASFS contributed to the conduct, reporting, conception and design, data collection, and finalizing of the manuscript. EW contributed to the conduct, reporting, conception and design, data collection, and finalising of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Obtained.