CME-Rheumatologie 20: Parvovirus-B19-induzierte Tenosynovitis? CME-Fragen.

We present a case of a patient with chronic tenosynovitis in the 4th extensor tendon compartment. With unremarkable anamnesis and due to normal laboratory results a «seronegative (RF), ACPA (CCP)-negative tenosynovitis without arthritis» had been reported. Diagnostic and therapeutic tenosynovectomy was performed. Histologic processing revealed a positive PCR for parvovirus B19. We discuss articular and extraarticular manifestations. A parvovirus B19-associated manifestation in the musculoskeletal system is usually self-limiting. The therapy should be carried out symptomatically. In our patient there was a marked local finding, so that the complete tenosynovectomy followed by a single steroid injection led to a persistent restitutio ad integrum. PMID: 31910759 [PubMed - in process]

https://www.ncbi.nlm.nih.gov/pubmed/31910759?dopt=Abstract

Source: Praxis - December 31, 2019 Category: General Medicine Authors: Tamborrini G, Schwab M, Hebert T, Köhler V Tags: Praxis (Bern 1994) Source Type: research

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