Anti-Jo-1 antibody is associated with an overlap syndrome usually described
as the association of idiopathic inflammatory myopathy, pulmonary fibrosis
and polyarthritis. We report three observations illustrating different asp
ects of arthropathy associated with anti-Jo-1 antibody. Two patients presen
ted with a deforming and erosive arthritis affecting the hands, periarticul
ar calcifications and dislocation of the interphalangeal (IP) joint of the
thumb. The third patient, who had a short disease course, presented only wi
th a mild non-erosive polyarthritis of both hands, metacarpophalangeal join
t narrowing and periarticular calcifications. All the patients had intersti
tial pulmonary syndrome. Only two of them had myositis. An arthropathy char
acterized by erosive arthritis of the fingers, with dislocation of the IP j
oint of the thumb and periarticular calcifications, seems to be specificall
y associated with anti-Jo-1 antibody. Joint Bone Spine 2001 ; 68 : 166-9. (
C) 2001 Editions scientifiques et medicales Elsevier SAS.