Presentation
Painful, swollen fingers of several months duration. Both hands are involved, and the pain became worse with activity and was relieved by NSAIDs.
Patient Data
Age: 60 years
Gender: Female
From the case:
Gull-wing appearance - erosive osteoarthritis
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Info
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There is central erosions with marginal proliferation at both of the DIP and PIP joints. Diffuse loss of cartilage space is noted at inter-phalangeal and first carpometacarpal joints.
From the case:
Gull-wing appearance - erosive osteoarthritis
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Info

Circle highlights the gull-wing appearance of erosive osteoarthritis.
Case Discussion
Central erosions with marginal proliferation at both of the DIP and PIP joints are compatible with gull-wing appearance. This appearance is consistent with erosive osteoarthritis.