PMC4140150_01
Photographic image of bilateral hands. Symmetrical swelling around PIP joints of bilateral digits II-V.
CRIOR2014-132854.001.jpg
PMC4140150_01_CRIOR2014-132854.001.jpg
fig1
However, there was no restriction of finger range of motion and there was no disturbance of activities of daily life (Figure 1).
Plain radiograph of bilateral hands at the first examination. No bony erosive and joint destruction around the PIP joints on anteroposterior (a) and lateral (b) images.
CRIOR2014-132854.002.jpg
PMC4140150_01_CRIOR2014-132854.002.jpg
fig2
Radiography of both hands showed no joint space narrowing and no evidence of bony erosive change around the PIP joints (Figure 2).
Coronal (a, b) and axial (c, d) views of magnetic resonance imaging of the left hand. Homogeneous low-intensity subcutaneous lesion around the PIP joints (arrow heads) on T1-weighted image (a, c) and T2-weighted image (b, d).
CRIOR2014-132854.003.jpg
PMC4140150_01_CRIOR2014-132854.003.jpg
fig3
Magnetic resonance imaging (MRI) revealed only soft tissue thickness surrounding the PIP joints without bony change (Figure 3).
Photographic image of bilateral hands after treatment with tranilast. Improvement of symmetrical swelling around PIP joints after treatment with tranilast.
CRIOR2014-132854.004.jpg
PMC4140150_01_CRIOR2014-132854.004.jpg
fig4
Her affected digits slightly softened and became less swelled at the last visit to our clinic (Figure 4).