Endocrine Case Report: Thumb Swelling and Redness

Article

Our latest case report from Brady Pregerson, MD, featuresa woman in her mid-60s with a history of Hashimoto’s thyroiditis treated with levothyroxine presenting to the hospital with 4-5 days of pain, swelling and redness on her left thumb.

History of Present Illness:

A patient in their mid-60s, with a history of Hashimoto’s thyroiditis using levothyroxine, presents to the hospital with 4 to 5 days of pain, swelling, and redness on her left thumb. She states that the pain is actually slightly better today than it was yesterday. She denies any trauma, fever, or other complaints. She does say about 3 weeks ago she had a small cut in that area that healed uneventfully within 4-5 days. She has no other complaints.

Vital Signs and Physical Exam:

Vital signs are normal. Physical exam is also normal except for the thumb. See image below:

Image of a patient's thumb from a physical exam. | Credit: Brady Pregerson, MD

Credit: Brady Pregerson, MD

Initial Diagnostic Testing:

CBC and Chem-7: Normal

Imaging: Bedside water bath ultrasound shows a slightly hyperechoic mass without shadowing that does not compress. X-ray is shown below.

X-ray image of a patient's thumb. | Credit: Brady Pregerson, MD

X-ray image of a patient's thumb.
Credit: Brady Pregerson, MD

What is the most likely diagnosis?


Related Videos
Video 10 - "Future Treatment Landscape for COPD"
Video 9 - "Emerging Treatment Approaches in COPD"
Ghada Bourjeily, MD: Research Gaps on Sleep Issues During Pregnancy
John Winkelman, MD, PhD: When to Use Low-Dose Opioids for Restless Legs Syndrome
Bhanu Prakash Kolla, MBBS, MD: Treating Sleep with Psychiatric Illness
Jennifer Martin, PhD: Boosting CPAP Adherence in Women with Sleep Apnea
Video 2 -  4 KOLs are featured in, "Educating Primary Care Clinicians on Outpatient HE Management and Ammonia Testing"
Video 1 - 4 KOLs are featured in, "Exploring the Impact of Hepatic Encephalopathy on Patients and Their Families "
© 2024 MJH Life Sciences

All rights reserved.