Case report with joint deformity: Jaccoud‘s arthropathy

  • Rodrigo Acosta Sanabria Ministerio de Salud Pública y Bienestar Social. Centro Médico Nacional, Hospital Nacional de Itauguá, Departamento de Medicina Interna, Itauguá, Paraguay https://orcid.org/0000-0003-3644-3164
  • Sara Esther Ortiz Torres Ministerio de Salud Pública y Bienestar Social. Centro Médico Nacional, Hospital Nacional de Itauguá, Departamento de Medicina Interna, Itauguá, Paraguay https://orcid.org/0000-0002-0385-4496
  • Julio César Rolón López Ministerio de Salud Pública y Bienestar Social. Centro Médico Nacional, Hospital Nacional de Itauguá, Departamento de Medicina Interna, Itauguá, Paraguay https://orcid.org/0000-0003-4393-9280
Keywords: arthropathy, jaccoud, joint

Abstract

Introduction: The doctor Francois-Sigismond Jaccoud, described in 1869 in a young patient with rheumatic fever (RF), some joint deformities that consisted of classic deformations observed in rheumatoid arthritis (RA), such as the swan neck, the thumb subluxation, ulnar deviation, but that the main difference had the characteristic that they were reducible to passive movement, for which they were called Jaccoud‘s arthropathy (JA). Clinical Case: First case: 23-year-old female patient, by profession a housewife, with a history of deformity in the hands and feet since she was approximately 6 years old, without treatment. He denied systemic manifestations, arthralgia. Second case: A 61-year-old female patient, housewife by profession, from a rural area, diagnosed with Systemic Lupus Erythematosus (SLE) since she was 23 years old, with a history of deformity in the hands and feet since approximately the same age, currently with treatment with hydroxychloroquine and prednisone. He referred joint manifestations such as occasional arthralgia in the hands with significant edema in the fingers. Conclusion: Jaccoud‘s arthropathy (JA) is a reversible chronic nonerosive joint disorder that can occur after repeated episodes of arthritis.

Downloads

Download data is not yet available.

References

(1) Santiago M. Jaccoud-type lupus arthropathy: practical classification criteria. Lupus Sci Med. 2020;7(1):e000405.

(2) Santiago M. P67 Jaccoud’s arthropathy in systemic lupus erythematosus: a case series of 52 Brazilian patients. 2020;7 (Suppl 1):A60.1-A60.

(3) Golwara AK, Kumar P, Jha P, Thakur D. Jaccoud’s arthropathy: A rare but well-known clinical entity. Eur Hear J - Case Reports. 2021;5(10):1–3.

(4) Quintana R, Pons-Estel G, Roberts K, Sacnún M, Berbotto G, Garcia MA, et al. Jaccoud’s arthropathy in SLE: Findings from a Latin American multiethnic population. Lupus Sci Med. 2019;6(1):1–4.

(5) Oto Y, Moriyama M, Ukichi T. Clinical Images: Unilateral Jaccoud’s arthropathy in a patient with relapsing polychondritis. ACR Open Rheumatol. 2022;4(8):643.

(6) Medici V de A, Barboza F. Artropatia de Jaccoud: como reconhecer uma artropatia rara. Sci Electron Arch. 2021;14(6):63–7.

(7) Noda IP. Artropatía de Jaccoud en el lupus eritematoso sistémico. Revisión de la literatura a propósito de un caso. Rev Cuba Reumatol. 2018;20(I):1–10.

(8) Sivas F, Aydoǧ Ş, Pekin Y, Özoran K. Idiopathic Jaccoud’s arthropathy. APLAR J Rheumatol. 2005;8(1):60–2.

(9) Santiago MB. Jaccoud’s arthropathy. Best Pract Res Clin Rheu- matol [Internet]. 2011;25(5):715–25. Available from: http://dx.doi. org/10.1016/j.berh.2011.10.018

(10) Santiago MB, Galvão V. Jaccoud arthropathy in systemic lupus erythematosus: Analysis of clinical characteristics and review of the literature. Medicine (Baltimore). 2008;87(1):37–44.

(11) Clóvis L, Guimarães B, Direito AC, Oliveira Monteiro G, Oliveira Monteiro N, Santos Aguiar P, et al. Artropatia de Jaccoud: Rela to de caso Jaccoud Arthropathy: Case report. Rev Científica da FMC [Internet]. 2013;9(22):8–10. Available from: http://www.fmc.br/ revista/V9N2P08-10.pdf

(12) López Longo FJ. Artropatía de Jaccoud: Algo más que lupus. Semin la Fund Esp Reumatol. 2011;12(2):36–41.

(13) Spronk P.E., Ter Borg E.J., Kallenberg C.G. Patients with systemic lupus erythematosus and Jaccaud‘s arthropathy: A clinical subset with an increased C reactive protein response? Ann Rheum Dis., 51 (1992), pp. 358-361.

(14) R. Whittaker, H. Griffiths. Jaccoud‘s arthropathy and hypermobility syndrome. J Rheumatol., 20 (1993), pp. 1636.

Published
2023-06-28
How to Cite
1.
Acosta Sanabria R, Ortiz Torres SE, Rolón López JC. Case report with joint deformity: Jaccoud‘s arthropathy. Rev. parag. reumatol. [Internet]. 2023Jun.28 [cited 2025Jul.15];9(1):38-0. Available from: https://revista.spr.org.py/index.php/spr/article/view/183
Section
CASE REPORTS