Abstract

MARTINEZ-NUNEZ, Pablo; RIVERA-VEGAS, María Jesús  and  PEREZ-GONZALEZ, Mónica. Dieterich's disease: a case report of a very rare disease. Rev.Colomb.Reumatol. [online]. 2021, vol.28, n.1, pp.76-79.  Epub Sep 24, 2021. ISSN 0121-8123.  https://doi.org/10.1016/j.rcreu.2020.03.002.

Dieterich’s disease, or avascular necrosis of the metacarpal head, is a very rare disease, with just over 50 cases reported in the literature. Of unknown aetiology, it can manifest clinically in a variable way, from asymptomatic to obvious inflammation and painful functional limitation of the affected metacarpophalangeal joint. The case is presented of an 82-yearold patient who presented with pain at the level of the metacarpophalangeal joint of the third finger of the right hand of 1 year of duration without apparent cause. The physical examination showed no functional limitation or pain. Furthermore, no erythema, swelling, or mass effect was observed. A radiological study was carried out, leading to a diagnosis of advanced Dieterich's disease. Conservative treatment was started with nonsteroidal anti-inflammatory drugs, with a significant clinical improvement.

Keywords : Avascular necrosis; Dieterich; Corticosteroid; Arthropathy; Metacarpal.

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