AI Summary & Key Takeaways
AI InsightIn this report, a case that was previously misdiagnosed as Rheumatoid arthritis due to deformities in hand and whose Parkinson's disease was detected upon presentation to our clinic is presented and the differential diagnosis of the disease is discussed.
📌 3 Key Takeaways
Abstract
Hand and foot deformities were originally described in Parkinson's disease in 1864, although its pathogenesis still remains to be clarified. Typical hand deformities are flexion in metacarpopharyngeal joints and hyperextension in interphalangial joints, sometimes accompanied by ulnar deviation. Unlike Rheumatoid arthritis, there is no swelling and stiffness in joints. In this report, a case that was previously misdiagnosed as Rheumatoid arthritis due to deformities in hand and whose Parkinson's disease was detected upon presentation to our clinic is presented and the differential diagnosis of the disease is discussed.
Özet
Parkinson hastalığında el ve ayak deformiteleri ilk kez 1864 yılında tanımlanmış, ancak hala patogenezi tam olarak aydınlatılmamıştır. Karekteristik el deformitesi metakarpofalengial eklemlerde fleksiyon ve interfalengial eklemlerde ise hiperekstansiyon olup, bazen bunlara parmaklarda unlar deviasyon eşlik edebilir. Romatoid artritden farklı olarak eklemlerde şişlik ve katılık yoktur. Burada ellerindeki deformiteler nedeniyle daha önce Romatoid artrit tanısı almış, ancak kliniğimize başvurduğunda Parkinson hastalığı olduğu tespit edilen bir olgu sunulmuş ve ayırıcı tanısı tartışılmıştır.