The authors report their own experience of rehabilitation in a patient suffering from multicentric reticulohistiocytosis. The patient presented with severe functional limitations of both hand. Reticulohistiocytosis is a rare systemic disorder that was first reported in 1937. It is characterized by nodular dermal lesions, symmetric arthritis of the finger joints and other organ involvements. The proliferation of multinucleate hystiocytes is frequently ascertained during histological study of cutaneous biopsy. Medical therapy is generally based on high-dose steroids and/or colchicine. To the best of our knowledge, there are no published studies on rehabilitation (associated with pharmacological therapy) in patients with functional limitation secondacy to m.r. Accordingly we planned and implemented a rehabiliation programme that was similar to those developed for patients with rheumatoid arthritis and other disease which present the same joint disorder. The main goal of the rehabilitation programme was the treatment of joint stiffness. Therapy included connective tissue massage and micromanipulative massage techniques aimed at reducing stiffness and improving gliding of the subcutaneous structures, and kinesitherapy and McMennel's manipulations aimed at improving functional range of motion. Two years of rehabilitative treatment resulted in significant functional improvement.
|Translated title of the contribution||Rehabilitation in multicentric reticulohistiocytosis: A case report|
|Number of pages||5|
|Publication status||Published - 1995|
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