Case report: From Osteopoikilosis to RA to dry eye

Just a tiny case report in a rheumatology journal but I thought it was an interesting reminder of the challenging detective work occasionally needed to track down the source of dry eye symptoms.

Osteopoikilosis in a patient with rheumatoid arthritis complicated with dry eyes.
Ureten K
Rheumatol Int. 2007 Sep;27(11):1079-82. Epub 2007 Mar 29

Osteopoikilosis is an uncommon sclerosing bone dysplasia of unknown etiology. It is usually detected as a coincidental finding at radiographic examination. Mild joint pain and swelling may be seen in 15-20% of cases. Osteopoikilosis is rarely associated with rheumatoid arthritis. In this case report a young man with osteopoikilosis who was diagnosed as having rheumatoid arthritis complicated with dry eyes is presented. Although patients with osteopoikilosis may have articular symptoms, those patients should be carefully examined for a possible association with a rheumatic condition