Bilateral hand swelling and tenderness.
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A degenerative pattern of arthritis affects the DIP and PIP joints of all the fingers and the DIP joints of both thumbs. There are a few erosions and the PIP joints demonstrated a "gullwing appearance". Findings are consistent with an erosive osteoarthritis.
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Erosive osteoarthritis is a seronegative arthropathy that typically presents in postmenopausal females.