脳出血片麻痺後に関節リウマチを発症し,健側手関節に骨破壊を生じた一例

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We reported a case of rheumatoid arthritis (RA) with asymmetrical manifestation of wrist arthropathy in a hemiplegic stroke patient. The patient was a 61-year-old woman who had a left thalamic hemorrhage and now suffered right hemiplegia. Six months after her apoplectic stroke she complained of left wrist pain. X-ray examination indicated that her left wrist joint was destroyed. The sparing effect was observed in her paralyzed right wrist. The test for serum rheumatoid factor was positive and the patient's inflammatory signs were elevated. Consequently, she was administered anti-rheumatic drugs and fitted with a left wrist orthosis and her left wrist pain diminished. We also discuss the mechanism of unilateral RA.
社団法人日本リハビリテーション医学会の論文
2004-02-18