Fibroblastic rheumatism treated with methotrexate and colchicine

Objective: Fibroblastic rheumatism (FR) is a rare disease first described by Chaouat in 1980 which is characterized by a combination of rheumatologic and dermatological manifestations. Rheumatologic features are symmetrical polyarthralgia with joint stiffness, associated with cutaneous nodules and s...

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Main Authors: J. de Carvalho, P. Criado
Format: Article
Language:English
Published: Verduci Editore 2023-07-01
Series:Beyond Rheumatology
Subjects:
Online Access:https://www.beyond-rheumatology.org/wp-content/uploads/sites/10/2023/07/e477.pdf
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author J. de Carvalho
P. Criado
author_facet J. de Carvalho
P. Criado
author_sort J. de Carvalho
collection DOAJ
description Objective: Fibroblastic rheumatism (FR) is a rare disease first described by Chaouat in 1980 which is characterized by a combination of rheumatologic and dermatological manifestations. Rheumatologic features are symmetrical polyarthralgia with joint stiffness, associated with cutaneous nodules and sclerodactyly. Histology shows an increased number of fibroblasts and marked dermal fibrosis. In this report, we described a rare cutaneous disease-fibroblastic rheumatism, in which the patient had an excellent response to methotrexate associated with colchicine. Case Presentation: A 13 years old boy who was previously healthy started in 2013 deformities over his fingers without pain or any inflammatory signs associated with joint stiffness. This is the second Brazilian case of FR treated with methotrexate and colchicine. Conclusions: The patient observed a slight improvement in cutaneous nodules and joint stiffness. Though FR is a rare disease, early diagnosis is mandatory. This case reinforces that MTX associated with colchicine may be an additional therapeutic tool for these patients.
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spelling doaj.art-c4af7931939346988dcebf3a9a643a0f2023-07-14T10:14:51ZengVerduci EditoreBeyond Rheumatology2612-51102023-07-01510.53238/br_20237_477477Fibroblastic rheumatism treated with methotrexate and colchicineJ. de Carvalho0P. Criado1Institute for Health Sciences from Federal University of Bahia, Salvador, Bahia, BrazilFaculdade de Medicina do ABC, Santo Andrè, BrazilObjective: Fibroblastic rheumatism (FR) is a rare disease first described by Chaouat in 1980 which is characterized by a combination of rheumatologic and dermatological manifestations. Rheumatologic features are symmetrical polyarthralgia with joint stiffness, associated with cutaneous nodules and sclerodactyly. Histology shows an increased number of fibroblasts and marked dermal fibrosis. In this report, we described a rare cutaneous disease-fibroblastic rheumatism, in which the patient had an excellent response to methotrexate associated with colchicine. Case Presentation: A 13 years old boy who was previously healthy started in 2013 deformities over his fingers without pain or any inflammatory signs associated with joint stiffness. This is the second Brazilian case of FR treated with methotrexate and colchicine. Conclusions: The patient observed a slight improvement in cutaneous nodules and joint stiffness. Though FR is a rare disease, early diagnosis is mandatory. This case reinforces that MTX associated with colchicine may be an additional therapeutic tool for these patients.https://www.beyond-rheumatology.org/wp-content/uploads/sites/10/2023/07/e477.pdffibroblastic rheumatismcutaneous nodulesfibrosispeyronie's diseasemethotrexatecolchicine
spellingShingle J. de Carvalho
P. Criado
Fibroblastic rheumatism treated with methotrexate and colchicine
Beyond Rheumatology
fibroblastic rheumatism
cutaneous nodules
fibrosis
peyronie's disease
methotrexate
colchicine
title Fibroblastic rheumatism treated with methotrexate and colchicine
title_full Fibroblastic rheumatism treated with methotrexate and colchicine
title_fullStr Fibroblastic rheumatism treated with methotrexate and colchicine
title_full_unstemmed Fibroblastic rheumatism treated with methotrexate and colchicine
title_short Fibroblastic rheumatism treated with methotrexate and colchicine
title_sort fibroblastic rheumatism treated with methotrexate and colchicine
topic fibroblastic rheumatism
cutaneous nodules
fibrosis
peyronie's disease
methotrexate
colchicine
url https://www.beyond-rheumatology.org/wp-content/uploads/sites/10/2023/07/e477.pdf
work_keys_str_mv AT jdecarvalho fibroblasticrheumatismtreatedwithmethotrexateandcolchicine
AT pcriado fibroblasticrheumatismtreatedwithmethotrexateandcolchicine