Gold Finger: Metal Jewellery as a Disease Modifying Antirheumatic Therapy!
Polyarticular psoriatic arthritis is a chronic, progressive and disabling auto-immune disease often affecting the small joints of the hands in a symmetrical fashion. The disease can progress rapidly causing joint swelling and damaging cartilage and bone around the joints resulting in severe deformit...
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| Format: | Article |
| Language: | English |
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Wiley
2009-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2009/518976 |
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| _version_ | 1832560363884773376 |
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| author | T. Hlaing S. Ramteke K. Binymin |
| author_facet | T. Hlaing S. Ramteke K. Binymin |
| author_sort | T. Hlaing |
| collection | DOAJ |
| description | Polyarticular psoriatic arthritis is a chronic, progressive and disabling auto-immune disease often affecting the small joints of the hands in a symmetrical fashion. The disease can progress rapidly causing joint swelling and damaging cartilage and bone around the joints resulting in severe deformities. We report a very unusual case of a 49-year-old woman who presented with polyarticular psoriatic arthritis affecting all proximal interphalangeal (PIP) joints of both hands except the left ring finger PIP joint. On clinical examination there was no evidence of arthritis in the left ring finger PIP joint. We confirmed the paucity of joint damage in the PIP joint of the left ring finger using more modern imaging modalities such as musculoskeletal ultrasound and MRI scan of the small joints of the hands. All other PIP joints in both hands demonstrated advanced degrees of joint damage secondary to chronic psoriatic inflammatory arthritis. We postulated that wearing a gold wedding ring has helped protecting the PIP joint of the left ring finger from the damaging effect of inflammatory arthritis. The possible mechanisms by which metal jewellery (gold ring) confer protection to adjacent joints was discussed. |
| format | Article |
| id | doaj-art-047b8d179a0d4787a9b5f8d31067d5c1 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2009-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-047b8d179a0d4787a9b5f8d31067d5c12025-02-03T01:27:44ZengWileyCase Reports in Medicine1687-96271687-96352009-01-01200910.1155/2009/518976518976Gold Finger: Metal Jewellery as a Disease Modifying Antirheumatic Therapy!T. Hlaing0S. Ramteke1K. Binymin2Rheumatology Department, Southport and Ormskirk Hospital NHS Trust, Liverpool University, PR8 6PN, UKRadilogy Department, Southport and Ormskirk Hospital NHS Trust, PR8 6PN, UKRheumatology Department, Southport and Ormskirk Hospital NHS Trust, Liverpool University, PR8 6PN, UKPolyarticular psoriatic arthritis is a chronic, progressive and disabling auto-immune disease often affecting the small joints of the hands in a symmetrical fashion. The disease can progress rapidly causing joint swelling and damaging cartilage and bone around the joints resulting in severe deformities. We report a very unusual case of a 49-year-old woman who presented with polyarticular psoriatic arthritis affecting all proximal interphalangeal (PIP) joints of both hands except the left ring finger PIP joint. On clinical examination there was no evidence of arthritis in the left ring finger PIP joint. We confirmed the paucity of joint damage in the PIP joint of the left ring finger using more modern imaging modalities such as musculoskeletal ultrasound and MRI scan of the small joints of the hands. All other PIP joints in both hands demonstrated advanced degrees of joint damage secondary to chronic psoriatic inflammatory arthritis. We postulated that wearing a gold wedding ring has helped protecting the PIP joint of the left ring finger from the damaging effect of inflammatory arthritis. The possible mechanisms by which metal jewellery (gold ring) confer protection to adjacent joints was discussed.http://dx.doi.org/10.1155/2009/518976 |
| spellingShingle | T. Hlaing S. Ramteke K. Binymin Gold Finger: Metal Jewellery as a Disease Modifying Antirheumatic Therapy! Case Reports in Medicine |
| title | Gold Finger: Metal Jewellery as a Disease Modifying Antirheumatic Therapy! |
| title_full | Gold Finger: Metal Jewellery as a Disease Modifying Antirheumatic Therapy! |
| title_fullStr | Gold Finger: Metal Jewellery as a Disease Modifying Antirheumatic Therapy! |
| title_full_unstemmed | Gold Finger: Metal Jewellery as a Disease Modifying Antirheumatic Therapy! |
| title_short | Gold Finger: Metal Jewellery as a Disease Modifying Antirheumatic Therapy! |
| title_sort | gold finger metal jewellery as a disease modifying antirheumatic therapy |
| url | http://dx.doi.org/10.1155/2009/518976 |
| work_keys_str_mv | AT thlaing goldfingermetaljewelleryasadiseasemodifyingantirheumatictherapy AT sramteke goldfingermetaljewelleryasadiseasemodifyingantirheumatictherapy AT kbinymin goldfingermetaljewelleryasadiseasemodifyingantirheumatictherapy |