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Previous Volume 354:2375 June 1, 2006 Number 22 Next

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View larger version (45K): [in this window] [in a new window]   A 51-year-old woman with a 15-year history of rheumatoid arthritis presented with swelling and loss of function of the right shoulder. Magnetic resonance imaging of the shoulder revealed severe destruction of the humeral head with an elevated signal of the bone marrow (Panel A). Puncture revealed 60 ml of a white colloidal fluid (Panel B). The results of polarizing microscopy are shown in Panel C. What is the diagnosis? Editor's note: We invite our readers to submit their answers at www.nejm.org/mystery. We will publish the diagnosis in the Correspondence section of the July 27, 2006, issue and e-mail it to everyone who submits an answer. All answers must be received by June 14, 2006.

 

Tim L. Jansen, M.D., Ph.D.
Anneke Spoorenberg, M.D., Ph.D.
Medisch Centrum Leeuwarden
8934 AD Leeuwarden, the Netherlands

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Medical Mystery: Arthritis — The Answer
Jansen T. L., Spoorenberg A.
Extract | Full Text | PDF  
N Engl J Med 2006; 355:421-422, Jul 27, 2006. Correspondence

This article has been cited by other articles:

• Jansen, T. L. Th. A. (2006). Atorvastatine for chronic synovitis due to massive intra-articular cholesterol monohydrate deposition in long-standing rheumatoid arthritis. Rheumatology (Oxford) 45: 1577-1578 [Full Text]  
• Jansen, T. L., Spoorenberg, A. (2006). Medical mystery: arthritis--the answer.. NEJM 355: 421-422 [Full Text]