Swollen digits. Diagnosis: Pachydermodactyly.

Thakkar V; Singh Grewal D

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Swollen digits. Diagnosis: Pachydermodactyly.

机译：肿胀的数字。诊断：厚皮型。

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A 13-year-old girl of Turkish background was referred to a rheumatology clinic for assessment of bilateral finger swelling with a provisional diagnosis of juvenile idiopathic arthritis. History revealed no pain, swelling, early morning stiffness, constitutional symptoms or relevant family history; physical examination showed periarticular soft tissue swelling of the proximal interphalangeal regions especially of digits two and three without tenderness or synovitis and with a full range of motion. Plain radiology showed no erosive joint disease. What is the diagnosis? (for answer, see page 368)

机译：一名土耳其背景的13岁女孩被转至风湿病诊所，以评估双侧手指肿胀并初步诊断为青少年特发性关节炎。病史显示无疼痛，肿胀，清晨僵硬，体质症状或相关家族史;体格检查显示近端指间区域的关节周围软组织肿胀，特别是第二和第三指趾，无压痛或滑膜炎，并且活动范围广泛。普通放射学检查未发现糜烂性关节疾病。诊断是什么？（有关答案，请参阅第368页）

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《Journal of paediatrics and child health》 |2010年第6期|共2页
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Thakkar V; Singh Grewal D;
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Swollen digits. Diagnosis: Pachydermodactyly.

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