Firm Cutaneous Nodule on the Dorsal Hand: A Case Report on Fibroblastic Rheumatism

Fibroblastic rheumatism (FR) is a rare dermatoarthropathy of unknown etiology. It is characterized by the onset of firm cutaneous nodules in patients with rheumatologic symptoms such as arthralgias or symmetric polyarthritis. Clinicopathologic correlation is critical in establishing the diagnosis, a...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 12; no. 9
Main Authors Suri, Reba, Azzam, Martin J, Heaphy Jr, Michael
Format Journal Article
LanguageEnglish
Published Palo Alto Cureus Inc 08.09.2020
Cureus
Subjects
Anti-inflammatory agents
Antigens
Asymptomatic
Biopsy
Case reports
Collagen
Connective tissue diseases
Dermatology
Fibroblasts
Granulomas
Histopathology
Medical diagnosis
Pathology
Patient assessment
Plantar fasciitis
Rheumatism
Rheumatoid arthritis
Rheumatology
Scleroderma
Smooth muscle
Stains & staining
Tendinitis
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Summary:Fibroblastic rheumatism (FR) is a rare dermatoarthropathy of unknown etiology. It is characterized by the onset of firm cutaneous nodules in patients with rheumatologic symptoms such as arthralgias or symmetric polyarthritis. Clinicopathologic correlation is critical in establishing the diagnosis, as the clinical manifestations can resemble other fibrosing conditions. In this report, we review the clinical and histologic features of FR, as well as conditions similar to those of the case we present, with dermatologic and rheumatologic manifestations. As part of our research, a PubMed search of the following terms was performed: "arthralgia, arthritis, arthropathy, cutaneous, disease, fibroblast, fibrosing, nodule, rheumatism, and rheumatology". This report discusses a unique case of FR diagnosed in a 37-year-old man with a single cutaneous nodule.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.10312