Erosive osteoarthritis

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Hand pain and deformity.

Patient Data

Age: 50 years
Gender: Female
x-ray

Degenerative changes are seen in proximal and distal inter-phalangeal joints, including joint space narrowing, subchondral irregularity and central erosions, and marginal osteophytes.

Case Discussion

The findings in this case suggest erosive osteoarthritis, also referred to as primary osteoarthritis, with a distal distribution of central articular erosions, and sparing the wrist and metacarpophalangeal joints. The patient's age and sex are also characteristic for this condition.

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