Purpose: To describe classical radiographic appearances of erosive arthritis of the hands in an adult woman. Case Report: A 46-year-old woman who presented in the Clinic at a private hospital, with pain, swelling, morning stiffness, deformity of the fingers and occasional difficulty in using both hands. She had used various nonsteroidal anti-inflammatory drugs (NSAIDs) including Ibuprofen which was prescribed in a peripheral hospital, but her complaints worsened with no relief. Plain radiograph of the hands showed typical features of Erosive Osteoarthritis (EOA) in distal interphalangeal (DIP) and proximal interphalangeal (PIP) joints such as joint space narrowing, subchondral sclerosis, marginal osteophytes and erosions in the central portion of the joint giving the "gull-wing" and "saw tooth" appearances. The patient was placed on hydroxychloroquine, colchicines, piroxicam and prednisolone. Conclusion: A case of a 46-yearold woman with bilateral erosive hand osteoarthritis was reported. The rarity of the condition especially in our environment and the classical radiographic features prompted the report of this case.
CONTEXT: Ocular ultrasound, also known as ocular echography or B-Scan, is a quick, non-invasive test routinely used in clinical practice to assess the structural integrity and pathologies of the eye. It can provide additional information not readily obtained by direct visualization of ocular tissues, and it is particularly useful in patients with pathologies that prevents or obscures ophthalmoscopy, e.g. large corneal opacities, dense cataracts, or vitreous hemorrhage. The gelatinous composition of the eye makes it an ideal organ for ultrasound. While direct visualization with fundoscopy is limited due to variable provider skill, ultrasound provides reproducible, non-invasive visualization of the anterior chamber, globe, and posterior elements of the eye. AIM: The aim of the study is to audit all the ocular scans done in the Department of Radiology over a one year period, to ascertain indications and findings with respect to age groups and sex. METHODOLOGY: This was a retrospective study carried out in the Department of Radiology, Jos University Teaching Hospital, over a period of one year, between January, 2013 and January 2014. RESULTS: A total of 99 patients were scanned over the period, 53 of which were males and 46 females. Traumatic cataract and poor vision were the most common indications for ocular B-Scan. The most common finding was normal scan, while intra-ocular foreign body was the least common. CONCLUSION: Ocular ultrasonography is a safe imaging tool in evaluating patients with ocular diseases. Its utilization can be of great help in the management of ophthalmology cases.
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