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Bouchard's nodes may also be present; these are similar bony growths in the proximal interphalangeal (PIP) joints (middle joints of the fingers), and are also associated with osteoarthritis. Heberden's nodes are more common in women than in men, and there seems to be a genetic component involved in predisposition to the condition.
A Bouchard's node on the proximal interphalangeal joint of the index finger of a 64 year old man. Bouchard's nodes are comparable in presentation to Heberden's nodes, which are similar osteoarthritic growths on the distal interphalangeal joints, [1] but are significantly less common.
The formation of hard knobs at the middle finger joints (known as Bouchard's nodes) and at the farthest joints of the fingers (known as Heberden's nodes) is a common feature of osteoarthritis in the hands.
Osteoarthritis of the hand causes stiffness of the base of the thumb, alongside enlargement of DIP and PIP joints, leading to the formation of Heberden's nodes and Bouchard's nodes respectively. [6] Such firm and bony swellings at the finger joints are caused by the growth of osteophytes .
Osteophytes on the fingers or toes are known as Heberden's nodes (if on the distal interphalangeal joint) or Bouchard's nodes (if on the proximal interphalangeal joints). Treatments [ edit ]
Heberden's node: William Heberden: rheumatology: osteoarthritis: same as bouchard's nodes, but over dip joints Hegar's sign: Ernst Ludwig Alfred Hegar: obstetrics: normal pregnancy: softening of cervical isthmus appearing between 4th and 6th weeks (usually) Hess test: Alfred Fabian Hess: internal medicine: capillary fragility
A rheumatoid nodule is a lump of tissue, or an area of swelling, that appears on the exterior of the skin usually around the olecranon (tip of the elbow) or the interphalangeal joints (finger knuckles), but can appear in other areas. [1]
Rheumatoid vasculitis may affect almost any organ in the body. The skin and peripheral nerves are the most frequently affected areas. Although major organ system involvement of the kidney, bowel, or heart is much less common, it can result in serious morbidity and mortality, such as renal failure, bowel ischemia, and myocardial infarction. [3]