Nurdan PAKER, Derya BUĞDAYCI, Eser KALAOĞLU, Mürselin GÜLER

Hemodiyalize giren romatoid artritli hastada lunat kemik osteonekrozu.

Kienbock hastalığı lunat kemiğin osteonekrozudur. Hastalar genellikle hareket ile artan ağrı ve unilateral el bilek ekleminin dorsal yüzünde lokalize ödem ile kliniğe başvururlar. Tanı amaçlı direkt radyografiler ve diğer görüntüleme metotları kullanılır. Hastalığın tedavi ve takibinde radyolojik evreleme önemli olduğu için, radyografik bulguların dikkatli bir şekilde değerlendirilmesi oldukça temeldir. Bu yazıda, el bileği ekleminde hareket kısıtlanması, ağrı ve ödem şikayetleriyle ile polikliniğe başvuran Romatoid Artrit tanılı 46 yaşında bir olgu sunulmuştur. Yazımızda Romatoid Artritli hastalarda Kienböck hastalığına dikkat çekmek istedik.

Lunate bone osteonecrosis in hemodialysis patient with rheumatoid arthritis

Kienbock's disease is the osteonecrosis of lunate bone. Patients usually present with unilateral localized dorsal wrist swelling and pain that increase with movement. Direct radiographic and other imaging methods are used for diagnosis. Cautious evaluation of the radiological findings is substantial, because the management of the disease depends on radiological stage. Here, we present a 46-year-old woman with rheumatoid arthritis who admitted to the outpatient clinic of our hospital, because of pain, swelling and limitation of movement in the left wrist. We want to draw attention Kienbock's disease in patient with rheumatoid arthritis.

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