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Case Studies in Systemic Sclerosis pp 267–271Cite as

A 54-Year Old Woman with Pain and Stiffness of Hands and Tendon Friction Rubs

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Abstract

Tendon friction rubs (TFR) are a grating, “squeaking” sensation detected on passive or active motion of the affected tendon in systemic sclerosis (SSc). TFR are associated with the presence of diffuse cutaneous SSc (dSSc). In addition, TFR are also associated with more severe dSSc – greater skin thickening, joint contractures, greater physical disability, higher prevalence of cardiac or renal involvement, and decreased survival. TFR are a frequent physical finding in patients with early dSSc that should be routinely assessed when a patient presents with a constellation of signs and symptoms that suggest SSc, including recent onset arthritis, Raynaud’s phenomenon and puffy, swollen fingers.

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References

  1. Westphal C. Zwei falle von schlerodermie. Chariete Ann (Berlin). 1876;3:341-360.

    Google Scholar 

  2. Shulman LE, Kurban AK, Harvey AM. Tendon friction rubs in progressive system sclerosis (scleroderma). Trans Assoc Am Physicians. 1961;74:378-388.

    PubMed  CAS  Google Scholar 

  3. Rodnan GP, Medsger TA. The rheumatic manifestaions of progressive systemic sclerosis (scleroderma). Clin Orthop Relat Res. 1968;57:81-93.

    PubMed  CAS  Google Scholar 

  4. Avouac J, Walker U, Tyndall A, et al. Characteristics of joint involvement and relationships with systemic inflammation in systemic sclerosis: results from the EULAR Scleroderma Trial and Research Group (EUSTAR) database. J Rheumatol. 2010;37(7):1488-1501.

    Article  PubMed  Google Scholar 

  5. Steen VD, Medsger TA Jr. The palpable tendon friction rub: an important physical examination finding in patients with systemic sclerosis. Arthritis Rheum. 1997;40(6):1146-1151.

    Article  PubMed  CAS  Google Scholar 

  6. Sanchez-Guerrero J. Predictive value of the presence or absence of palpable tendon friction rubs in scleroderma: comment on the article by Steen and Medsger. Arthritis Rheum. 1998;41(1):186-187.

    Article  PubMed  CAS  Google Scholar 

  7. Khanna PP, Furst D, Clements P, Maranian P, Indulkar L, Khanna D. Tendon friction rubs in early diffuse systemic sclerosis: prevalence, characteristics and longitudinal changes in a randomized controlled trial. Rheumatol (Oxford). 2010;49(5):955-959.

    Article  Google Scholar 

  8. Khanna D, Denton CP. Evidence-based management of rapidly progressing systemic sclerosis. Best Pract Res Clin Rheumatol. 2010;24(3):387-400.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. University of Michigan, Ann Arbor, MI, 48109, USA

    Dinesh Khanna

  2. University of Michigan, Ann Arbor, MI, USA

    Puja P. Khanna M.D., MPH.

Authors
  1. Dinesh Khanna
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  2. Puja P. Khanna M.D., MPH.
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Editor information

Editors and Affiliations

  1. , Division of Rheumatology & Immunology, Medical University of South Carolina, Charleston, 29403, USA

    Richard M. Silver

  2. Royal Free and University College, Medical School, University College London, Rowland Street, London, NW3 2PF, United Kingdom

    Christopher P. Denton

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© 2011 Springer-Verlag London Limited

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Khanna, D., Khanna, P.P. (2011). A 54-Year Old Woman with Pain and Stiffness of Hands and Tendon Friction Rubs. In: Silver, R., Denton, C. (eds) Case Studies in Systemic Sclerosis. Springer, London. https://doi.org/10.1007/978-0-85729-641-2_28

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  • DOI: https://doi.org/10.1007/978-0-85729-641-2_28

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  • Publisher Name: Springer, London

  • Print ISBN: 978-0-85729-640-5

  • Online ISBN: 978-0-85729-641-2

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