case_images: PMC4140150_01
case_images: Photographic image of bilateral hands. Symmetrical swelling around PIP joints of bilateral digits II-V.
case_images: CRIOR2014-132854.001.jpg
case_images: PMC4140150_01_CRIOR2014-132854.001.jpg
case_images: fig1
case_images: However, there was no restriction of finger range of motion and there was no disturbance of activities of daily life (Figure 1).
case_images: Plain radiograph of bilateral hands at the first examination. No bony erosive and joint destruction around the PIP joints on anteroposterior (a) and lateral (b) images.
case_images: CRIOR2014-132854.002.jpg
case_images: PMC4140150_01_CRIOR2014-132854.002.jpg
case_images: fig2
case_images: Radiography of both hands showed no joint space narrowing and no evidence of bony erosive change around the PIP joints (Figure 2).
case_images: Coronal (a, b) and axial (c, d) views of magnetic resonance imaging of the left hand. Homogeneous low-intensity subcutaneous lesion around the PIP joints (arrow heads) on T1-weighted image (a, c) and T2-weighted image (b, d).
case_images: CRIOR2014-132854.003.jpg
case_images: PMC4140150_01_CRIOR2014-132854.003.jpg
case_images: fig3
case_images: Magnetic resonance imaging (MRI) revealed only soft tissue thickness surrounding the PIP joints without bony change (Figure 3).
case_images: Photographic image of bilateral hands after treatment with tranilast. Improvement of symmetrical swelling around PIP joints after treatment with tranilast.
case_images: CRIOR2014-132854.004.jpg
case_images: PMC4140150_01_CRIOR2014-132854.004.jpg
case_images: fig4
case_images: Her affected digits slightly softened and became less swelled at the last visit to our clinic (Figure 4).