Jaccoud’s arthritis is a progressive deforming arthropathy of the hands and feet in young adults following recurrent rheumatic fever or systemic lupus erythematosus. There is pain and loss of mobility. A typical deformity consists mainly of ulnar deviation of the metacarpophalangeal joints, the hand being deviated medially at the wrist. Subluxation of the proximal phalanges may cause a hook-like deformity of the volar aspect of the metacarpal heads. The toes may also be affected, and rheumatic nodules are frequently present. Fibrosis of the periarticular tissues with abnormal synovium is the principal pathologic feature. Aetiology unknown.
- S. Jaccoud:
Leçons de clinique médicale faites a l'Hôpital de la Charité.
Paris, Adrien Delahaye. 2nd edition. Paris, Delahaye, 1869.