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Fibroblastic Rheumatism: Case Report and Review of the Literature
Author(s) -
Lee Joyce M.,
Sundel Robert P.,
Liang Marilyn G.
Publication year - 2002
Publication title -
pediatric dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 73
eISSN - 1525-1470
pISSN - 0736-8046
DOI - 10.1046/j.1525-1470.2002.00227.x
Subject(s) - medicine , polyarthritis , dermatology , rheumatism , distal interphalangeal joint , biopsy , skin biopsy , interphalangeal joint , arthritis , nose , pathology , surgery
A previously healthy 7‐year‐old boy presented with polyarthritis and skin lesions. Multiple, skin‐ to pink‐colored, firm papules were noted on the periungual areas, hands, feet, and nose. There was swelling of the proximal interphalangeal joints, wrists, elbows, ankles, and knees. A skin biopsy specimen revealed dermal fibrosis and interspersed histiocytes and lymphocytes. These findings were consistent with fibroblastic rheumatism, a condition characterized by cutaneous nodules and a symmetric polyarthritis. He was treated with methotrexate and corticosteroids with improvement in the symptoms of his arthritis and skin lesions. This early treatment was beneficial in our patient.