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Year : 2013  |  Volume : 8  |  Issue : 2  |  Page : 83-84

What is your diagnosis? A young male with deforming arthropathy


Apollo Hospitals, Bhubaneswar, Orissa, India

Correspondence Address:
Prasanta Padhan
Apollo Hospitals, Bhubaneswar, Orissa
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.1016/j.injr.2012.07.011

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A 22-year-male presented with painless swelling with deformities of the proximal inter- phalangeal joints of 10 years duration. Inflammatory markers were negative. Hand radio- graph showed typical changes of Thiemann disease with epiphyseal irregularities. Thiemann disease is a rare genetic disorder that is considered to be a form of avascular necrosis of the proximal interphalangeal joints of the fingers and toes. The clinical symptoms usually appear in adolescence or puberty and may be confused with juvenile idiopathic arthritis. Treatment of this condition is usually symptomatic.


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