Illusive clinical pictures of musculoskeletal pain syndromes
Journal Title: Reumatologia - Year 2006, Vol 44, Issue 6
Abstract
Common diagnostic mistakes of musculoskeletal pain syndromes are presented. Difficulties in the diagnosis were analyzed. Acroparesthesias are usually produced by carpal tunnel syndrome despite the coexistence of cervical osteophytes or lesions of the intervertebral disc. Common complains of fingers swelling in the cases of carpal tunnel syndrome can suggest the diagnosis of inflammatory arthritis or osteoarthritis. The clinical features of trochanteric syndrome can resemble the symptoms of osteoarthritis of the hip or radicular pain. Hip pain is usually caused by lesions of the lower part of lumbar spine, not of the hip. A common clinical symptom of osteoarthritis of the hip is pain of the knee. Common misdiagnosis of fibromyalgia syndrome is connected with local character of the musculoskeletal pain in the majority of cases. Main causes of shoulder pain are lesions of tendon cuff even if radiological examination reveals cervical spine lesions. In rheumatologic patients the most common cause of crural pain swelling and redness resembling deep venous thrombosis is rupture of Baker’s cyst.
Authors and Affiliations
Leszek Szczepański, Anna Szczepańska-Szerej
Keywords
Related Articles
- EP ID EP149605
- DOI -
- Views 96
- Downloads 0
Are the diagnostic criteria for antiphospholipid syndrome possible to define?
According to J.C. Piette the defining and classifying of criteria for antiphospholipid syndrome (APS) were in 1996, a “mission impossible”. There was no clear evidence that APS should be regarded a unique entity. The cat...
Zespół SAPHO – odmienność przebiegu – trudności diagnostyczne
Zespół SAPHO jest chorobą heterogenną ze współistnieniem zmian kostno-stawowych o wielomiejscowej lokalizacji, zmian skórnych i narządowych. Do najczęstszych objawów kostno-stawowych należą: bóle przedniej ściany klatk...
Standardization of the methods of \"markers\" autoantibody assessment in the ECFS projects - aims and real achievements
Autoimmunity is a such state of the immune system when in the sera of patients suffering on CTD-s permanently persist autoantibodies and autoreactive limphocytes T suspected to be involved in pathomechanisms of the disea...
Evaluation of 12-lead resting ECG with QTc analysis in children with systemic and localized scleroderma
Scleroderma is chronic inflammatory disease of connective tissue of unknown etiology. Classification into two forms: systemic and localized scleroderma depends on type of skin symptoms, kind of immunological disturbances...
Anti-ribosomal P protein antibodies: clinical significance and role in pathogenesis of systemic lupus erythematosus
Ribosomal P protein is a pentamere composed of 3 phosphoproteins: P0, P1 and P2 with molecular weights, respectively: 38, 19 i 17 kDa. Their function is not exactly known, it is supposed that are essential for all 3 sta...