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Severe erosive arthropathy requiring surgical treatments in systemic lupus erythematosus
Authors:Toshiyuki Kitaori  Hiromu Ito  Hiroyuki Yoshitomi  Tomoki Aoyama  Takao Fujii  Tsuneyo Mimori  Takashi Nakamura
Affiliation:(1) Department of Orthopaedic Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin-Kawaharacho, Sakyo-ku, Kyoto 606-8507, Japan;(2) Department of Rheumatology and Clinical Immunology, Kyoto University Graduate School of Medicine, 54 Shogoin-Kawaharacho, Sakyo-ku, Kyoto 606-8507, Japan;(3) Institute for Frontier Medical Sciences, Kyoto University, 53 Shogoin-Kawaharacho, Sakyo-ku, Kyoto 606-8507, Japan
Abstract:We report a case of 43-year-old woman with an overlap syndrome of systemic lupus erythematosus (SLE) and dermatomyositis who developed erosive arthritis with extracapsular cysts involving multiple joints. An extensive synovectomy for the left wrist joint and a total joint replacement for the right hip joint were required to achieve complete symptom relief. She was not diagnosed with rheumatoid arthritis (RA). This was a rare case of SLE manifesting non-RA erosive arthritis that required surgical interventions.
Keywords:Systemic lupus erythematosus (SLE)  Erosive arthritis  Rheumatoid arthritis  Surgical treatment
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