Silicone-Induced Adenopathy Eight Years After Metacarpophalangeal Arthroplasty

✍ Scribed by Gerald D. Groff; Alan R. Schned; Thomas H. Taylor

• Book ID: 101645184
• Publisher: John Wiley and Sons
• Year: 1981
• Tongue: English
• Weight: 401 KB
• Volume: 24
• Category: Article
• ISSN: 0004-3591
• DOI: 10.1002/art.1780241220

✦ Synopsis

Approximately one-third of patients with rheumatoid arthritis develop classic subcutaneous rheumatoid nodules. These usually appear over pressure points and correlate with the presence of rheumatoid factor in serum. The differential diagnosis of nodules should include adenopathy and foreign body reactions. One relatively new source of foreign body reaction is silicone elastomer from prostheses replacing finger joints. Silicone prostheses have become an increasingly widespread resource in the management of hand deformities. Accumulating experience suggests that up to 25% ( I ) of these implants will develop fractures with the potential release of silicone particles and resultant foreign body reactions. Silicone related synovitis (1,2) and lymphadenopathy (1,3) are potential complications. We present a rheumatoid arthritis patient with silicone-induced rheumatoid granuloma 8 years after silicone metacarpophalangeal joint arthroplasty.

Case Report. LA is a 61-year-old white man with a 19-year history of classic, seropositive rheuma-From the