Jaccoud arthropathy

Jaccoud arthropathy: Description, Causes and Risk Factors: ICD-10-DC: M12.00 Jaccoud arthropathyA rare form of chronic arthritis, reported to occur after attacks of acute rheumatic fever, characterized by an unusual form of bone erosion of the metacarpal heads and by ulnar deviation of the fingers; it resembles rheumatoid arthritis, but with less overt inflammation, and rheumatoid factor is absent. It was traditionally described as occurring post rheumatic fever. It is also seen in association with systemic lupus erythematosus (SLE) and several other rheumatic and non-rheumatic conditions. The etiopathogenic mechanisms of Jaccoud arthropathy are not known, but some authors have suggested an association with hypermobility syndrome. Several studies have attempted to identify an association of different antibodies with Jaccoud arthropathy in SLE patients, but their findings do not allow for the drawing of any definite conclusions. The type of joint deformity that occurs in Jaccoud's arthropathy involves degeneration in the tendon and ligament system, giving the appearance of joint deformity in rheumatoid arthritis but without bone erosion. This arthropathy has been described in patients with systemic lupus erythematosus, rheumatic fever and other collagen diseases. Symptoms: Hand deformities present a typical picture of ulnar deviation and subluxation of the MCP, as observed in rheumatoid arthritis. However, in Jaccoud arthropathy, ligament laxity and muscle imbalance rather than the loss of bone and joint instability secondary to synovitis, determine the clinical picture. Diagnosis: Newer imaging techniques such as magnetic resonance imaging (MRI) and high-performance ultrasonography have revealed the presence of small erosions in joints of a few patients with Jaccoud arthropathy. Treatment: Presently, the therapy for Jaccoud arthropathy is conservative and based on the use of non-hormonal anti-inflammatory drugs, low doses of corticosteroids, methotrexate (TrexallTM). The role of surgery through either the re-alignment of soft tissue around the joint - or more aggressive procedures such as arthrodesis, silastic implant and arthroplasty - needs to be proven. NOTE: The above information is educational purpose. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. DISCLAIMER: This information should not substitute for seeking responsible, professional medical care.


Submit a Comment

Your email address will not be published. Required fields are marked *

Cart Preview

Cheap Drugs May Help Prevent Dementia after a Stroke

Cheap Drugs May Help Prevent Dementia after a Stroke

A new research from the University of Edinburgh, UK, suggests that cheap cilostazol tablets may reduce damage to arteries, which lead to blood clots, resulting in strokes and cognitive decline. The researchers plan to assess the medications’ ability to cut the risk of...

Flavonoids in Fruits and Vegetables May Preserve Lung Function

Flavonoids in Fruits and Vegetables May Preserve Lung Function

A new study from the US discovers that flavonoids, natural compounds found in fruits and vegetables, may help preserve the lung function, which tends to decline with age. For the study, a team of researchers looked at data from 463 adults from Norway and England whose...

Quiz about this article

Please answer on few questions to make our service more useful

Featured Products

Spring is Here: Top 6 Outdoor Sports

Good weather is the best reason to do outdoor sports, which will help not only lose weight, but also will strengthen health. Bicycle The sun dries out the local paths, so you can safely sit on your favorite bike and confidently twist the pedals, where the eyes look....

read more

First Aid in Case of Injuries for Sport and Exercise

First aid for injuries consists of simple rules that need to be clearly implemented. If this is a closed injury, you need to immobilize the injured limb, otherwise the person may lose consciousness from a painful shock. If you need to get to the emergency room...

read more