Presentation
Patient attending rheumatology clinic for several years with hand and feet pains.
Patient Data
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Marginal erosions involving the MTP joint of the right little toe.
Associated periarticular subchondral lucency.
Case Discussion
Rheumatoid disease is a multi-system disorder, most associated with musculoskeletal manifestations.
It is usually a seropositive arthrititis, characterized by an erosive arthropathy.
A large component of modern care of these diseases is early aggressive treatment, including with biological therapies, before the radiographic findings become apparent.
The patient was a known rheumatoid arthritis sufferer.