Multicentric reticulohistiocytosis

Discussion:

The combination of radiographic findings and the patient's presentation in this case suggest multicentric reticulohistiocytosis (MCRH) as a diagnosis, but do not rule out other differential considerations such as rheumatoid arthritis and other inflammatory arthritides or gout. If only the pan-carpal destructive changes in the left wrist are identified, septic arthritis would be an important consideration. 

This case was biopsy proven MCRH. 

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