Abstract
Two patients with neuropathic arthropathy (NA) of hands and wrists due to cervical syringomyelia are described. Articular deformities resembling rheumatoid arthritis (RA) were present in both cases. RA was misdiagnosed in the first case, leading to incorrect treatment with iatrogenic consequences, and there was real coexistence of RA and NA in the second one. Physicians must be aware of this rare condition in the differential diagnosis of wrist and hand deformities.
References
Brower AC, Allman RM (1981) Pathogenesis of the neuropathic joint: neurotraumatic vs. neurovascular. Radiology 139:349–354
Sackalleres JC, Swift TR (1976) Shoulder enlargement as the presenting sign in syringomyelia: report of two cases and review of the literature. JAMA 236:2878–2879
Jones J, Wolf S (1998) Neuropathic shoulder arthropathy (Charcot joint) associated with syringomyelia. Neurology 50:825–827
Yanik B, Tuncer S, Seçkin B (2004) Neuropathic arthropathy caused by Arnold–Chiari malformation with syringomyelia. Rheumatol Int 24:238–241
Tristano AG, Willson ML, Montes de Oca I (2005) Axillary vein thrombosis as a manifestation of rapidly progressive neuropathic arthropathy of the shoulder associated with syringomyelia. Mayo Clin Proc 80:416–418
Tegner W (1953) Syringomyelia misdiagnosed as rheumatoid arthritis. Ann Phys Med 1:182–183
Tumiati B, Casoli P (1991) Syringomyelia in a patient with rheumatoid subluxation of the cervical spine. J Rheumatol 18:1403–1405
Mizutani J, Tsubouchi S, Fukuoka M, Otsuka T, Matsui N (2002) Syringomyelia caused by loosening of multistrand cables following C1-2 Brooks-type fusion in rheumatoid cervical spine. J Neurosurg 97:366–368
Author information
Authors and Affiliations
Corresponding author
Additional information
An erratum to this article can be found at http://dx.doi.org/10.1007/s10067-006-0471-3
Rights and permissions
About this article
Cite this article
de Sausa Neves, F., Pereira Gonçalves, D. & Roberto, C. Syringomyelia, neuropathic arthropathy and rheumatoid arthritis as diagnostic dilemmas in two different cases: confounding factor and true coexistence. Clin Rheumatol 26, 98–100 (2007). https://doi.org/10.1007/s10067-005-0102-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10067-005-0102-4