LETTERS Fibroblastic rheumatism: a Scandinavian case report

ibroblastic rheumatism (FR) is a rare disorder of unknown cause first described in 1980.1 We here report the first Scandinavian patient with FR. CASE REPORT A 55 year old Danish woman was referred to our department in July 2000 with a 2K year history of pain in the proximal interphalangeal (PIP) joints, knees, and ankles. The pain worsened over night and upon exercise. On examination, the right knee and the second PIP joint on the left hand were tender and swollen. The other PIP joints and both wrists were tender. On both hands there were several pink, 3–10 mm, tender and mobile skin nodules (fig 1), and a 20 mm nodule under the left foot. All laboratory investigations were normal, including erythrocyte sedimentation rate, C reactive protein, haemo