Multicentric Reticulohistiocytosis Presenting with Papulonodular Skin Lesions and Arthritis Mutilans

Multicentric reticulohistiocytosis is a rare multisystem disorder of unknown etiology that is characterized by erosive polyarthritis and papulonodular lesions on the skin, mucous membranes, and internal organs. We report the case of a 54-year-old female who was misdiagnosed as having rheumatoid arth...

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Main Authors: Raya Saba, Shawn G. Kwatra, Bishwas Upadhyay, Aibek E. Mirrakhimov, Farah N. Khan
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Rheumatology
Online Access:http://dx.doi.org/10.1155/2013/201563
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author Raya Saba
Shawn G. Kwatra
Bishwas Upadhyay
Aibek E. Mirrakhimov
Farah N. Khan
author_facet Raya Saba
Shawn G. Kwatra
Bishwas Upadhyay
Aibek E. Mirrakhimov
Farah N. Khan
author_sort Raya Saba
collection DOAJ
description Multicentric reticulohistiocytosis is a rare multisystem disorder of unknown etiology that is characterized by erosive polyarthritis and papulonodular lesions on the skin, mucous membranes, and internal organs. We report the case of a 54-year-old female who was misdiagnosed as having rheumatoid arthritis and underwent numerous joint replacement surgeries for progressively destructive arthritis in her hands, shoulders, hips, and knees. The patient finally received a diagnosis of multicentric reticulohistiocytosis after histopathological examination of the patient’s left knee arthroplasty which revealed a diffuse histiocytic infiltrate, multinucleated giant cells, and finely granulated eosinophilic cytoplasm with a ground-glass appearance.
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institution Kabale University
issn 2090-6889
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language English
publishDate 2013-01-01
publisher Wiley
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series Case Reports in Rheumatology
spelling doaj-art-3f794ef09f8b46279f3ba176c969c23a2025-02-03T01:26:44ZengWileyCase Reports in Rheumatology2090-68892090-68972013-01-01201310.1155/2013/201563201563Multicentric Reticulohistiocytosis Presenting with Papulonodular Skin Lesions and Arthritis MutilansRaya Saba0Shawn G. Kwatra1Bishwas Upadhyay2Aibek E. Mirrakhimov3Farah N. Khan4Department of Internal Medicine, Saint Joseph Hospital, 2900 N. Lake Shore, Chicago, IL 60657, USADepartment of Internal Medicine, Saint Joseph Hospital, 2900 N. Lake Shore, Chicago, IL 60657, USADepartment of Internal Medicine, Saint Joseph Hospital, 2900 N. Lake Shore, Chicago, IL 60657, USADepartment of Internal Medicine, Saint Joseph Hospital, 2900 N. Lake Shore, Chicago, IL 60657, USADepartment of Internal Medicine, Saint Joseph Hospital, 2900 N. Lake Shore, Chicago, IL 60657, USAMulticentric reticulohistiocytosis is a rare multisystem disorder of unknown etiology that is characterized by erosive polyarthritis and papulonodular lesions on the skin, mucous membranes, and internal organs. We report the case of a 54-year-old female who was misdiagnosed as having rheumatoid arthritis and underwent numerous joint replacement surgeries for progressively destructive arthritis in her hands, shoulders, hips, and knees. The patient finally received a diagnosis of multicentric reticulohistiocytosis after histopathological examination of the patient’s left knee arthroplasty which revealed a diffuse histiocytic infiltrate, multinucleated giant cells, and finely granulated eosinophilic cytoplasm with a ground-glass appearance.http://dx.doi.org/10.1155/2013/201563
spellingShingle Raya Saba
Shawn G. Kwatra
Bishwas Upadhyay
Aibek E. Mirrakhimov
Farah N. Khan
Multicentric Reticulohistiocytosis Presenting with Papulonodular Skin Lesions and Arthritis Mutilans
Case Reports in Rheumatology
title Multicentric Reticulohistiocytosis Presenting with Papulonodular Skin Lesions and Arthritis Mutilans
title_full Multicentric Reticulohistiocytosis Presenting with Papulonodular Skin Lesions and Arthritis Mutilans
title_fullStr Multicentric Reticulohistiocytosis Presenting with Papulonodular Skin Lesions and Arthritis Mutilans
title_full_unstemmed Multicentric Reticulohistiocytosis Presenting with Papulonodular Skin Lesions and Arthritis Mutilans
title_short Multicentric Reticulohistiocytosis Presenting with Papulonodular Skin Lesions and Arthritis Mutilans
title_sort multicentric reticulohistiocytosis presenting with papulonodular skin lesions and arthritis mutilans
url http://dx.doi.org/10.1155/2013/201563
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