CASE REPORT MYOSITIS OSSIFICANS WITH ARTHRITIS

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Dunia Elizabeth Marca Gonzales
Leidy Azucena Quezada Riofrio
Juan Fernando Gálvez Vallejo
Álvaro Fernando González Ortega

Keywords

Rheumatoid arthritis, Myositis ossificans, Reactive Process, Overlay, Syndrome, Trauma

Abstract

Myositis ossificans is a disease of low prevalence and incidence with variable clinical manifestations with periods of remission and exacerbation as a consequence of its pathophysiological basis characterized by the presence of heterotopic calcifications in soft tissues. Its evolution is progressive with functional limitation of the involved joint, although its morbidity and mortality is low, complications are greater due to diagnostic delay, mainly when associated with rheumatological disease such as rheumatoid arthritis.


Objective: To report updated scientific evidence by describing a clinical case of a patient diagnosed with myositis ossificans associated with rheumatoid arthritis.


Methodology: This study is a bibliographic review approached under a descriptive design of the clinical case report, considering the following sources of information: Science Direct, PubMed, Scopus, Lilacs, Cochrane, Redalyc, SciELO and Proquest.


Results: In the following case, a rare association is described as rheumatoid arthritis overlap syndrome in myositis ossificans, whose clinical picture was characterized by the presence of pain and inflammation at the level of the shoulder and hip joint that improves with activity and worsens with rest plus morning stiffness of one hour.


Conclusions: It should be noted that before a patient with clinical suggestion of myositis ossificans it is important to evaluate the coexistence of other rheumatic diseases such as rheumatoid arthritis, in the current literature this is the first case reported; however, there are other associated pathologies such as osteosarcoma. Although there is no protocolized treatment, the use of bisphosphonate, zoledonic acid and corticosteroids decreases the progression of the disease and improves quality of life.

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