Aseptic necrosis presenting as wrist pain in sle

Aseptic necrosis of the wrist in systemic lupus erythematosus (SLE) is not rare. In 156 patients with SLE, aseptic necrosis occurred in 11 patients, of whom 3 (27%) had wrist involvement. Onset of pain was insidious and the symptoms were thought to be related to synovitis due to SLE. An average of 1...

Full description

Saved in:
Bibliographic Details
Published in:Arthritis and rheumatism 1977-04, Vol.20 (3), p.825-828
Main Authors: Urman, Jeffrey D., Abeles, Micha, Houghton, Alan N., Rothfield, Naomi F.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Carpal Bones - diagnostic imaging
Child
Diagnosis, Differential
Diagnostic Errors
Humans
Lupus Erythematosus, Systemic - complications
Lupus Erythematosus, Systemic - drug therapy
Osteonecrosis - diagnosis
Osteonecrosis - diagnostic imaging
Osteonecrosis - drug therapy
Pain - diagnosis
Prednisone - therapeutic use
Radiography
Synovitis - diagnosis
Wrist
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Aseptic necrosis of the wrist in systemic lupus erythematosus (SLE) is not rare. In 156 patients with SLE, aseptic necrosis occurred in 11 patients, of whom 3 (27%) had wrist involvement. Onset of pain was insidious and the symptoms were thought to be related to synovitis due to SLE. An average of 11 months elapsed before aseptic necrosis was correctly diagnosed. An awareness of this possibility is important in the management of any patient with SLE who complains of wrist pain.
ISSN:0004-3591
1529-0131
DOI:10.1002/art.1780200311