Jaccoud’s arthritis

Jaccoud’s arthritis Jaccoud’s arthritis is a deforming arthritis of the small joints of the hand and feet secondary to rheumatic fever. Usually rheumatic fever involves the major joints and is a non-deforming arthritis. Jaccoud’s arthritis is due to periarticular fibrosis and it is called as a correctable deformity, unlike the deformity in rheumatoid arthritis which is fixed. Though conventionally Jaccoud’s arthritis has been considered as a delayed manifestation of rheumatic fever, now a days, similar findings are more commonly reported in systemic lupus erythematosus (SLE) and is known as Jaccoud’s arthropathy [1]. Jaccoud’s arthropathy is characterized by swan neck deformity, ulnar deviation and Z-thumb as in rheumatoid arthritis, but can be corrected passively and there is no bone erosion noticeable on plain radiographs. Bone erosions and other structural changes may be documented by magnetic resonance imaging. Reference Santiago MB, Galvão V, Ribeiro DS, Santos WD, da Hora PR, Mota AP, Pimenta E, Oliveira I, Atta AM, Reis MG, Reis EA, Lins C. Severe Jaccoud’s arthropathy in systemic lupus erythematosus. Rheumatol Int. 2015 Oct;35(10):1773-7. doi: 10.1007/s00296-015-3351-9.
Source: Cardiophile MD - Category: Cardiology Authors: Tags: General Cardiology correctable deformity deforming arthritis of the small joints of the hand and feet secondary to rheumatic fever Jaccoud's arthritis peri-articular fibrosis SLE Systemic Lupus Erythematosus Source Type: blogs