CASE REPORTS - Insufficiency fractures of the distal tibia misdiagnosed as cellulitis in three patients with RA

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Arthritis Rheum. 1991 Jul;34(7):912-5.

Insufficiency fractures of the distal tibia misdiagnosed as cellulitis in

three patients with rheumatoid arthritis.

Straaton KV, -Mendez A, Alarcon GS.

Division of Clinical Immunology and Rheumatology, University of Alabama,

Birmingham 35294.

We describe 3 patients with rheumatoid arthritis who presented with diffuse

pain, swelling, and erythema of the distal aspect of the lower extremity,

suggestive of either cellulitis or thrombophlebitis, but were found to have

insufficiency fractures of the distal tibia. The value of technetium-99m

diphosphonate bone scintigraphy in the early recognition of these fractures

and a possible explanation for the associated inflammatory symptoms are

discussed.

PMID: 2059237

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve & db=PubMed & list_uids=2\

059237 & dopt=Abstract

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