To the Editor: I was somewhat confused by the Clinical Picture case in the May 2013 issue.1 The caption for Figure 1 stated that the MRI showed erosions and marrow edema, which were “asymmetrical compared with the other wrist, a finding highly suggestive of rheumatoid arthritis.” However, rheumatoid arthritis is generally considered to be symmetrical.2 Was this a typographical error, or did I miss a crucial concept somewhere?
Letters To The Editor
Not all joint pain is arthritis
Cleveland Clinic Journal of Medicine. 2013 November;80(11):734
David L. Keller, MD
The Clinical Picture
- Gursimran S. Kochhar, MD
- Maged Rizk, MD
- Deepa T. Patil, MD
A 47-year-old man who was diagnosed with rheumatoid arthritis 5 years ago now has pleural effusions and abdominal pain.