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Inicio Revista Colombiana de Reumatología (English Edition) Dieterich’s disease: a case report of a very rare disease
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Vol. 28. Issue 1.
Pages 76-79 (January - March 2021)
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Vol. 28. Issue 1.
Pages 76-79 (January - March 2021)
Case report
DOI: 10.1016/j.rcreue.2020.03.005
Dieterich’s disease: a case report of a very rare disease
Enfermedad de Dieterich: reporte de un caso de una enfermedad muy poco frecuente
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Pablo Martínez Núñeza,
Corresponding author
pablomartineznunez@hotmail.com

Corresponding author.
, María Jesús Rivera Vegasa, Mónica Pérez Gonzálezb
a Servicio de Cirugía Plástica, Estética y Reparadora, Hospital Universitario de Burgos. Burgos, Spain
b Servicio de Radiodiagnóstico, Hospital Universitario de Burgos, Burgos, Spain
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Abstract

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-year-old patient who presented with pain at the level of the metacarpophalangeal joint of the third finger of the right hand of 1year 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
Resumen

La enfermedad de Dieterich o necrosis avascular de la cabeza de los metacarpianos es una enfermedad muy poco frecuente, con poco más de 50 casos reportados en la literatura. De etiología desconocida, clínicamente se puede manifestar de forma variable, desde asintomática hasta con evidente inflamación y limitación funcional dolorosa de la articulación metacarpofalángica afectada. Presentamos el caso de un paciente de 82 años que presentaba dolor a nivel de la articulación metacarpofalángica del tercer dedo de la mano derecha, de un año de evolución, sin causa aparente. La exploración física no evidenciaba limitación funcional, ni dolor, tampoco se objetivó eritema, tumefacción o efecto masa. Se realizó un estudio radiológico con diagnóstico de enfermedad de Dieterich avanzada, estableciendo tratamiento conservador con antiinflamatorios no esteroideos con mejoría clínica significativa.

Palabras clave:
Necrosis avascular
Dieterich
Corticoides
Artropatía
Metacarpiano

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