Skip to main content

Advertisement

Log in

Rheumatoid-like deformities in Parkinson’s disease with 1-year follow-up: case report and literature review

  • Case Report
  • Published:
Rheumatology International Aims and scope Submit manuscript

Abstract

Rheumatoid-like deformities in joints are uncommon in patients with Parkinson’s disease and easy to be misdiagnosed with rheumatoid arthritis. Therefore, unnecessary treatment is often initiated. Here, we report a case of a 60-year-old woman with Parkinson’s disease developing a rheumatoid-like joint deformities, and evaluate 1-year follow-up outcome. We also review the literature and discuss the clinical characteristics, possible pathogenesis, and treatment strategy of these cases.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

References

  1. Charcot JM (1877) Lectures on the diseases of the nervous system, lecture V. New Sydenham Society, London, pp 140–147

    Google Scholar 

  2. Fahn S, Oakes D, Shoulson I, Kieburtz K, Rudolph A, Lang A, Olanow CW, Tanner C, Marek K, Parkinson Study Group (2004) Levodopa and the progression of Parkinson’s disease. N Engl J Med 351:2498–2508

    Article  CAS  PubMed  Google Scholar 

  3. Hanly JG, Mosher D, Sutton E, Weerasinghe S, Theriault D (1996) Self-assessment of disease activity by patient with rheumatoid arthritis. J Rheumatol 23:1531–1538

    CAS  PubMed  Google Scholar 

  4. Gortvai P (1963) Deformities of the hand and feet in Parkinsonism and their reversibility by operation. J Neurol Neurosurg Psychiatry 26:33–36

    Article  CAS  PubMed  Google Scholar 

  5. Reynolds FW, Petropoulous GC (1965) Hand deformities in Parkinsonism. J Chronic Dis 18:593–595

    Article  PubMed  Google Scholar 

  6. Heinzelmann PR, Dow RW (1985) Clawhand deformity presumed secondary to Parkinson’s disease. J Hand Surg Am 10:19–21

    CAS  PubMed  Google Scholar 

  7. Bissonnette B (1986) Pseudorheumatoid deformity of the feet associated with parkinsonism [letter]. J Rheumatol 13:825–826

    CAS  PubMed  Google Scholar 

  8. Harris ED (1987) Pseudorheumatoid deformity of the feet associated with parkinsonism [letter]. Bissonnette B [reply]. J Rheumatol 14:855–856

    PubMed  Google Scholar 

  9. Kyriakides T, Hewer RL (1988) Hand contractures in Parkinson’s disease. J Neurol Neurosurg Psychiatry 51:1221–1223

    Article  CAS  PubMed  Google Scholar 

  10. Uhrin Z, Stein H (1998) Rheumatoid-like deformities in Parkinson’s disease. J Rheumatol 25:177–179

    CAS  PubMed  Google Scholar 

  11. Hu MT, Bland J, Clough C, Ellis CM, Chaudhuri KR (1999) Limb contractures in levodopa-responsive Parkinsonism: a clinical and investigational study of seven new cases. J Neurol 246:671–676

    Article  CAS  PubMed  Google Scholar 

  12. Aydoğ E, Ekşioğlu E, Cakci A, Yilmaz O (2005) Hand deformity in Parkinson’s disease: case report. Rheumatol Int 25:548–549

    Article  PubMed  Google Scholar 

  13. Ashour R, Jankovic J (2006) Joint and skeletal deformities in Parkinson’s disease, multiple system atrophy, and progressive supranuclear palsy. Mov Disord 21:1856–1863

    Article  PubMed  Google Scholar 

  14. Melikoglu MA, Sezer I, Kacar C (2007) Rheumatoid-like hand deformities in Parkinson disease. J Clin Rheumatol 13:236–237

    Article  PubMed  Google Scholar 

  15. Ashour R, Tintner R, Jankovic J (2005) Striatal deformities of the hand and foot in Parkinson’s disease. Lancet Neurol 4:423–431

    Article  PubMed  Google Scholar 

  16. Cordivari C, Misra VP, Catania S, Lees AJ (2001) Treatment of dystonic clenched fist with botulinum toxin. Mov Disord 16:907–913

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

We thank Professor Jie Luo for providing pathological picture. We also thank the patient who donated pictures and information to perform the study.

Conflict of interest statement

None declared.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Guochun Wang.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Shu, X., Wang, G., Lu, X. et al. Rheumatoid-like deformities in Parkinson’s disease with 1-year follow-up: case report and literature review. Rheumatol Int 30, 1493–1497 (2010). https://doi.org/10.1007/s00296-009-1094-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00296-009-1094-1

Keywords

Navigation