Clinical Rheumatology

, Volume 13, Issue 1, pp 135–138 | Cite as

Coexistence of ochronosis and rheumatoid arthritis

  • T. Kihara
  • M. Yasuda
  • H. Watanabe
  • Y. Suenaga
  • S. Shiokawa
  • T. Wada
  • S. Nonaka
  • T. Suzuki
  • M. Nobunaga
Case Report

Summary

We describe a 64-year-old female patient with ochronosis and rheumatoid arthritis. Magnetic resonance imaging of the spinal column disclosed the destruction of vertebral disks, and a bony bridging in Th12 to L2. In addition, we observed joint space narrowing in the wrists as well as among the carpal bones, positive rheumatoid factor and the presence of rheumatoid nodules, in which the histological findings were compatible with those of rheumatoid arthritis. The coexistence of these two diseases has not yet been previously reported. Pre-existing ochronotic arthropathy might have masked the manifestation of rheumatoid arthritis and made the diagnosis of rheumatoid arthritis rather difficult.

Key words

Rheumatoid Arthritis Ochronosis Alkaptonuria 

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Copyright information

© Clinical Rheumatology 1994

Authors and Affiliations

  • T. Kihara
    • 1
  • M. Yasuda
    • 1
  • H. Watanabe
    • 2
  • Y. Suenaga
    • 1
  • S. Shiokawa
    • 1
  • T. Wada
    • 1
  • S. Nonaka
    • 1
  • T. Suzuki
    • 2
  • M. Nobunaga
    • 1
  1. 1.Department of Clinical Immunology, Medical Institute of BioregulationKyushu UniversityBeppu OitaJapan
  2. 2.Department of Clinical Genetics, Medical Institute of BioregulationKyushu UniversityBeppu OitaJapan

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