Erosive osteoarthritis

Case contributed by Dr Fatmah M. Al Zeyoudi


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

Patient Data

Age: 50 years
Gender: Female

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
Published: 31st Jan 2017
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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