Resolution of Diabetic Cheiroarthropathy After Pancreatic Transplantation
- Samantha L. Hider, MRCP, MSC, BM, BS1,
- Dipak K. Roy, MRCP, MSC2,
- Titus Augustine, MS, FRCSED3,
- Neil Parrott, MD, FRCS3 and
- Ian N. Bruce, MD, FRCP12
- 1Arc Epidemiology Unit, University of Manchester, Manchester, U.K
- 2University of Manchester Rheumatism Research Centre, Central Manchester and Manchester Children’s University Hospitals National Health Service Trust, Manchester, U.K
- 3Manchester Institute of Nephrology and Transplantation, Central Manchester and Manchester Children’s University Hospitals National Health Service Trust, Manchester, U.K
- Address correspondence to S.L. Hider, Arc Epidemiology Unit, University of Manchester, Stopford Building, Oxford Road, Manchester M13 9PT, U.K. E-mail: sam.hider{at}man.ac.uk
A 51-year-old man was referred to our unit with a 12-month history of progressive impairment of hand function. He was unable to make a fist and had difficulty picking up small objects. He did not describe any joint pain, swelling, or morning stiffness, and there were no features to suggest an inflammatory arthropathy. He had been diagnosed with type 1 diabetes at age 7 years, complicated by diabetic nephropathy requiring a renal transplant 20 years previously (for which he was on long-term ciclosporin) and retinopathy.
On examination, his skin appeared slightly thickened. He had contractures evidenced by a positive prayer …
