Presentation
Seamstress with a painful and swollen third metacarpophalangeal joint of the right hand. These symptoms had started six months previously, without trauma.
Patient Data
Age: 75 years
Gender: Female
From the case:
Dietrich disease (metacarpal head avascular necrosis)
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Xray right hand
Partial collapse of third metacarpal head.
Case Discussion
Dietrich's disease is extremely rare and has been associated with trauma, systemic lupus erythematosus, congenitally short digits and steroid use.
Case courtesy: Prof. Fabio Denicolò
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