Rheumatology International

, Volume 25, Issue 7, pp 553–554 | Cite as

Multicentric reticulohistiocytosis associated with rheumatoid arthritis

  • Daichi Hoshina
  • Tadamichi Shimizu
  • Riichiro Abe
  • Junko Murata
  • Koichi Tanaka
  • Hiroshi Shimizu
Case Report

Abstract

Due to the fact that both multicentric reticulohistiocytosis (MRH) and rheumatoid arthritis (RA) are destructive arthritic and skin disorders, it is often difficult to differentiate one from the other. Here, we report the case of a 67-year-old Japanese woman who had been diagnosed as suffering from RA 20 years ago, and who developed MRH. MRH may be misdiagnosed as RA, but evaluation of the time course of specific symptoms can greatly help in the correct diagnosis.

Keywords

Multicentric reticulohistiocytosis Rheumatoid arthritis Distal interphalangeal (DIP) joint Methotrexate Malignancy. 

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Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  • Daichi Hoshina
    • 1
  • Tadamichi Shimizu
    • 1
  • Riichiro Abe
    • 1
  • Junko Murata
    • 1
  • Koichi Tanaka
    • 2
  • Hiroshi Shimizu
    • 1
  1. 1.Department of DermatologyHokkaido University Graduate School of MedicineSapporoJapan
  2. 2.Section of OrthopaedicsJapan Labour Health and Welfare Organization Iwamizawa Rhosai HospitalIwamizawaJapan

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