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Jaccoud's arthropathy in scleroderma
Clinical and Experimental Rheumatology
|October 1, 1984
Summary
Scleroderma can cause a Jaccoud-like arthropathy, a non-erosive hand deformity. This finding suggests this condition may be more prevalent in scleroderma patients than previously recognized.
Area of Science:
- Rheumatology
- Dermatology
- Orthopedics
Background:
- Scleroderma is a chronic autoimmune disease characterized by hardening and tightening of the skin and connective tissues.
- Jaccoud's arthropathy is a rare, non-erosive deformity of the hands, typically associated with rheumatic fever or systemic lupus erythematosus.
Observation:
- Two patients with scleroderma presented with a distinctive non-erosive hand deformity.
- The observed hand deformity closely mimicked the clinical presentation of Jaccoud's arthropathy.
Findings:
- Neither patient had a history of rheumatic fever.
- Neither patient exhibited clinical or serological evidence of systemic lupus erythematosus.
- The development of Jaccoud's-like arthropathy in scleroderma patients was documented.
Implications:
- This case series suggests that Jaccoud's arthropathy may be an underrecognized manifestation of scleroderma.
- Further research is warranted to elucidate the prevalence and underlying mechanisms of this association.
- Clinicians should consider Jaccoud's arthropathy in the differential diagnosis of hand deformities in scleroderma patients.