Erosive osteoarthritis

Case contributed by Dr Fatmah M. Al Zeyoudi

Presentation

Presented to rheumatology clinic with joints pain and deformity of both hands.

Patient Data

Age: 50 years
Gender: Female
X-ray

The DIP joints bilaterally revealed decreased joint spaces and proximal central erosions/depression with peripheral osteophytes assuming seagull appearance, features are highly suggestive of osteoerosive arthritis.

Case Discussion

50-year-old female complaining of painful joints in both hands. The radiographic features suggest erosive osteoarthritis. As it is an emergency condition the referring physician was informed.

Radiological features can differentiate between erosive arthritis and other arthritis:

  • central erosion (gull wing appearance)
  • usually seen in the distal interphalangeal joints   
  • spares metacarpophalangeal joints

Special thanks to Dr Tamer Elholiby.

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Case information

rID: 50819
Case created: 23rd Jan 2017
Last edited: 4th Feb 2017
Inclusion in quiz mode: Included

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