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Images in Clinical Medicine
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Volume 354:2375 June 1, 2006 Number 22
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A Medical Mystery — Arthritis

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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 . . . [Full Text of this Article]

 

Related Letters:

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

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