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KMID : 1103720130680060511
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Journal of the Korean Society of Radiology
2013 Volume.68 No. 6 p.511 ~ p.514
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A Case Report of Secretan’s Disease in Both Hands
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Hahm Myong-Hun
Yi Jae-Hyuck
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Abstract
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Secretan’s disease is a rare clinical condition with recurrent or persistent hard swelling and hyperplasia on the dorsal aspect of the hand with peritendinous fi- brosis around the extensor tendons. Although it is usually believed to involve a hand with preceding traumatic injury, here we present a case of Secretan’s dis- ease occurring in both hands without obvious trauma history in a 73-year-old fe- male, with clinical, radiological, and histological findings. The magnetic resonance imaging exhibited an ill-defined infiltrative mass-like lesion with homogenous dark signal intensity on T1 and T2-weighted images in the dorsal subcutaneous layer of the hand. The lesion showed no obvious enhancement during contrast- enhanced T1-weighted images. Microscopic examination of surgical specimen in- dicated marked fibrosis.
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KEYWORD
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Secretan’s Disease, Magnetic Resonance Imaging, Tendon, Hand
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