Spontaneous tendon rupture of the extensor digitrum communis in systemic lupus erythematosus

Abstract

We present a rare case of spontaneous tendon rupture of the extensor digitorum communis (EDC) in a patient with systemic lupus erythematosus (SLE). Inflammation in SLE presents as periarthritis, which may develop into Jaccoud's arthropathy. We bridged the ruptured tendon of the EDC (III) at the metacarpophalangeal (MP) joint of this patient with a tendon graft. This case demonstrates that this portion of the MP joint can be a site of tendon rupture of fingers in SLE patients.

Spontaneous flexor tendon rupture due to an insufficiency fracture of the hamate hook in a patient with systemic lupus erythematosus: A case report

“…There have been case reports of spontaneous tendon rupture in patients with SLE such as the Achilles tendon, patellar tendon and digital extensor tendons, but there have been few reports regarding flexor tendon rupture [8], [9], [10]. We have previously reported a case of spontaneous tendon rupture of the ring and small fingers in a patient with SLE [11].…”

Life‐threatening spontaneous kidney rupture in a rare case with systemic lupus erythematosus: Prompt diagnosis with computed tomography

“…The authors concluded that tendon rupture in SLE seemed to be associated with extended disease duration, long-term treatment with steroids, and immunosuppressants. [4][5][6][7][8][9] Spontaneous rupture of the kidney is associated with underlying diseases of the kidney such as renal cell carcinoma, metastasis, angiomyolipoma, renal vein thrombosis, polyarteritis nodosa, granulomatosis with polyangiitis, or hydronephrosis. [10][11][12][13][14] Only one case of spontaneous kidney rupture with SLE has been reported in 1973.…”

“…Coagulation rates, thrombocyte counts, and thrombocyte functions of all SLE patients with organ rupture were found between normal ranges, which were also present in our patient. The authors concluded that tendon rupture in SLE seemed to be associated with extended disease duration, long‐term treatment with steroids, and immunosuppressants …”