Differential diagnostic of stenosing ligamentitis and rheumatoid arthritis

Abstract

Objective — to study the presented clinical case from the perspective of differential diagnosis of 2 pathologies: rheumatoid arthritis and stenosing ligamentitis. Material and methods. Patient M., 40 years old was examined. We studied complaints, an anamnesis of the disease and life, data from medical documentation. Description of the clinical case. Patient M. was admitted with a diagnosis of probable rheumatoid arthritis (RA) in the department of rheumatology to verify the diagnosis. The diagnosis was established based on damage to the hands, positive rheumatic tests. It turned out that the patient worked as a typesetter. And with a detailed analysis of the clinical picture, it turned out that polyneuropathic signs prevail over the articular syndrome. On the basis of ultrasound examination of the hands, electromyography data, and X-ray data, the presence of carpal tunnel syndrome was established. After a consultation with a traumatologist, the diagnosis of stenotic ligamentitis (SL) was verif ed. Conclusion. Study of complaints, anamnesis allows timely and high-quality differential diagnosis of SL and RA, prescribe adequate treatment and timely prepare for surgical treatment.