RONALD WEITZNER, M.D.; ELLY MAK, M.D.; YONGSUK LERTRATANAKUL, M.D.
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To the editor: Recently Grout, Brewer, and Tompkins (Ann Intern Med 86:294-297, 1977) underscored the importance of considering the diagnosis of articular sporotrichosis, apparently the predominant fungal arthropathy in the midwestern United States, in patients with chronic synovitis. We recently treated a patient with articular sporotrichosis misdiagnosed as rheumatoid arthritis for more than 3 years. The patient has now been disease-free for more than 2 years after treatment with systemic and intra-articular amphotericin B. In that the number of patients thus treated (1-3) is small, this observation may be of interest.
A 49-year-old tree cutter in 1970 noted painful wrists
WEITZNER R, MAK E, LERTRATANAKUL Y. Articular Sporotrichosis. Ann Intern Med. ;87:382. doi: 10.7326/0003-4819-87-3-382_1
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Published: Ann Intern Med. 1977;87(3):382.
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