Limited Joint Mobility Syndrome Mimicking Rheumatoid Arthritis in a Patient with Type 2 Diabetes Mellitus: A…

Abstract

Limited joint mobility syndrome (LJMS) is a diabetic hand disorder that may exhibit features resembling rheumatoid arthritis (RA). A 72-year-old man with long-standing type 2 diabetes mellitus presented with bilateral finger swelling, pain, and limited range of motion and was initially treated for RA without any clinical improvement. Upon referral, physical examination revealed positive prayer and tabletop signs, and ultrasonography showed diffuse subcutaneous soft tissue swelling without synovial hypertrophy or power Doppler signals. The symptoms rapidly improved after intensifying the glycemic control. Diabetic cheiroarthropathy/LJMS should be considered in patients with diabetes presenting with RA-like hand manifestations.

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BibTeX RIS

BibTeX

@article{hayashi2026limited,
  title = {{Limited Joint Mobility Syndrome Mimicking Rheumatoid Arthritis in a Patient with Type 2 Diabetes Mellitus: A Case Report}},
  author = {Noriyuki Hayashi and Shinsuke Yamada and Yoshiteru Ohno and Yuhei Fujisawa and Keiji Okamoto and Yutaka Furumitsu and Ryu Watanabe and Motomu Hashimoto},
  journal = {Internal Medicine},
  year = {2026},
  month = sep,
  doi = {10.2169/internalmedicine.8077-26},
  url = {https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_8077-26/_article},
  note = {CC BY-NC-ND},
}

RIS

TY  - JOUR
TI  - Limited Joint Mobility Syndrome Mimicking Rheumatoid Arthritis in a Patient with Type 2 Diabetes Mellitus: A Case Report
AU  - Noriyuki Hayashi
AU  - Shinsuke Yamada
AU  - Yoshiteru Ohno
AU  - Yuhei Fujisawa
AU  - Keiji Okamoto
AU  - Yutaka Furumitsu
AU  - Ryu Watanabe
AU  - Motomu Hashimoto
PY  - 2026
DA  - 2026/09/08
JO  - Internal Medicine
DO  - 10.2169/internalmedicine.8077-26
UR  - https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_8077-26/_article
AB  - Limited joint mobility syndrome (LJMS) is a diabetic hand disorder that may exhibit features resembling rheumatoid arthritis (RA). A 72-year-old man with long-standing type 2 diabetes mellitus presented with bilateral finger swelling, pain, and limited range of motion and was initially treated for RA without any clinical improvement. Upon referral, physical examination revealed positive prayer and tabletop signs, and ultrasonography showed diffuse subcutaneous soft tissue swelling without synovial hypertrophy or power Doppler signals. The symptoms rapidly improved after intensifying the glycemic control. Diabetic cheiroarthropathy/LJMS should be considered in patients with diabetes presenting with RA-like hand manifestations.
SN  - 1349-7235
SN  - 0918-2918
ER  -

Abstract

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