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Giant Intraosseous Cyst-Like Lesions of the Metacarpal Bones in Rheumatoid Arthritis

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Title: Giant Intraosseous Cyst-Like Lesions of the Metacarpal Bones in Rheumatoid Arthritis
Authors: Fang, Wanxuan Browse this author
Nakagawa, Ikuma Browse this author
Sutherland, Kenneth Browse this author →KAKEN DB
Tanimura, Kazuhide Browse this author
Kamishima, Tamotsu Browse this author →KAKEN DB
Keywords: rheumatoid arthritis
magnetic resonance imaging
intraosseous cyst
metacarpal bone
bone erosion
Issue Date: Jul-2021
Publisher: MDPI
Journal Title: Journal of Imaging
Volume: 7
Issue: 7
Start Page: 113
Publisher DOI: 10.3390/jimaging7070113
Abstract: The purpose of this study was to illustrate the clinical and imaging properties of giant intraosseous cyst-like lesions (GICLs) of the metacarpal bones extending beyond the central diaphysis in rheumatoid arthritis (RA) patients on magnetic resonance (MR) images. A keyword search was conducted to extract GICLs of the metacarpal bones out of MR reports in RA patients. There were nine GICLs extending from the subchondral bone region beyond the central diaphysis of the metacarpal bones on MR images in eight subjects with RA (seven females, one male). The age range was from 60 to 87 years with a median age of 65.5 years. The average disease duration was 13.1 years. As for the disease activity, one was low, six were moderate and one was high. None of the nine lesions were visible on radiography. The Steinbrocker stage distribution was as follows: I (n = 3), II (n = 2), and III (n = 3). Intraosseous cyst-like lesion of the metacarpal bones on MR images is a relatively rare manifestation in patients with long-standing RA. Although the lesion seems to be derived from subcortical bone break, it is not necessarily erosive in nature.
Type: article
URI: http://hdl.handle.net/2115/82489
Appears in Collections:保健科学院・保健科学研究院 (Graduate School of Health Sciences / Faculty of Health Sciences) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

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