Lunate bone osteonecrosis in hemodialysis patient with rheumatoid arthritis: case report

Yıl 2019, Cilt: 12 Sayı: 3, 591 - 593, 30.09.2019

Eser Kalaoğlu , Mürselin Güler Derya Buğdaycı Nurdan Paker

https://doi.org/10.31362/patd.525923

Öz

Kienbock's disease is
the osteonecrosis of lunate bone. Patients usually present with unilateral
localized dorsal wrist swelling and pain that increase with movement. Direct radiographic
and other imaging methods are used for diagnosis. Cautious evaluation of the
radiological findings is substantial, because the management of the disease
depends on radiological stage. Here, we present a 46-year-old woman with rheumatoid
arthritis who admitted to the outpatient clinic
of our hospital, because of pain, swelling and limitation of movement in the
left wrist. We want to draw attention Kienbock's disease in patient with rheumatoid arthritis.

Anahtar Kelimeler

osteonecrosis, arthritis, rheumatoid, renal dialysis

Lunate bone osteonecrosis in hemodialysis patient with rheumatoid arthritis: case report

Öz

Kienbock hastalığı lunat kemiğin osteonekrozudur. Hastalar
genellikle hareket ile artan ağrı ve unilateral el bilek ekleminin dorsal
yüzünde lokalize ödem ile kliniğe başvururlar. Tanı amaçlı direkt radyografiler
ve diğer görüntüleme metotları kullanılır. Hastalığın tedavi ve takibinde radyolojik
evreleme önemli olduğu için, radyografik bulguların dikkatli bir şekilde
değerlendirilmesi oldukça temeldir. Bu yazıda, el bileği ekleminde hareket
kısıtlanması, ağrı ve ödem şikayetleriyle  ile polikliniğe başvuran Romatoid Artrit
tanılı 46 yaşında bir olgu sunulmuştur.  Yazımızda
Romatoid Artritli hastalarda Kienböck hastalığına dikkat çekmek istedik.

Anahtar Kelimeler

Osteonekroz, artrit, romatoid, böbrek diyalizi

Kaynakça

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