Tenosynovitis as a Primary Manifestation of Rheumatoid Arthritis

42 year old woman complained of swelling in the back of her right wrist for two months. Examination showed a fluctuant swelling on the dorsum of her wrist. X-rays, blood counts and ESR were normal. Rheumatoid factor was positive. Anti CCP was negative. MRI showed tenosynovitis of Extensor digitorum communis. After conservative measures failed to relieve… CONTINUE READING