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You are here: Home / Articles / Diagnostic Imaging in Lupus Patient with Foot Pain: History

Diagnostic Imaging in Lupus Patient with Foot Pain: History

January 19, 2016 • By Cianna Leatherwood, MD, & Derrick J. Todd, MD, PhD

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Editor’s note: In this recurring feature, we first present a series of images (this page) for your review, and then a brief discussion of the findings and diagnosis. Before you turn to the discussion, examine these images carefully and draw your own conclusions.

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January 2016
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  • Diagnostic Imaging in Lupus Patient with Foot Pain: Findings
Dr. Leatherwood

Dr. Leatherwood

Dr. Todd

Dr. Todd

History

A 33-year-old woman with a 16-year history of systemic lupus erythematosus (SLE) reports chronic bilateral foot pain and deformity. Serologic studies include an anti-nuclear antibody (ANA) at 1:5,120 titer (diffuse pattern), with very elevated anti-double-stranded DNA (dsDNA) and anti-ribonucleoprotein (RNP) antibody titers. Serum C3 and C4 complement levels have been chronically low. SLE features have consisted primarily of mucocutaneous, articular, and serositis disease. The following radiographic images are obtained.

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Figure 1: Anteroposterior (AP) radiograph of the left foot.

Figure 1: Anteroposterior (AP) radiograph of the left foot.

Figure 2: AP radiograph of the right foot.

Figure 2: AP radiograph of the right foot.

Filed Under: Conditions, SLE (Lupus), Soft Tissue Pain Tagged With: deformity, diagnostic, foot, imaging, Lupus, Pain, SLE, Systemic lupus erythematosus, UltrasoundIssue: January 2016

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