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Erosive osteoarthritis

Case contributed by Henry Knipe
Diagnosis possible

Presentation

Long-standing hand deformity.

Patient Data

Age: 70 years
Gender: Male
x-ray

Symmetric osteoarthritic changes with loss of joint space and marginal osteophytes, mainly affecting the interphalangeal joints. Some of the PIPJ show a "gull wing" appearance. Articular destruction at the fifth right PIPJ.

Case Discussion

These findings are in keeping osteoarthritis - it may be degenerative but "gull-wing" pattern of deformity is suggestive of erosive osteoarthritis. 

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