Isolated Histoplasma Tenosynovitis in a Patient on Adalimumab

A 42-year-old woman presented with a 3-week history of left hand swelling and pain, with a “shooting” sensation up her arm. Medical history was remarkable for Crohn disease on adalimumab and azathioprine. Physical examination was notable for erythema and tenderness on the palmar aspect of the left hand (Figure 1). Magnetic resonance imaging (MRI) identified flexor tenosynovial enhanc ement with surrounding inflammation (Supplemental Figure 1, available online at http://www.mayoclinicproceedings.org).

Source: Mayo Clinic Proceedings - May 31, 2020 Category: Internal Medicine Authors: John M. Rieth, Stephanie J.T. Chen, Darus L. Bennett, Manish Suneja Tags: Medical image Source Type: research