Gull-wing appearance: erosive osteoarthritis

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Painful, swollen fingers of several months duration. Both hands are involved, and the pain became worse with activity and was relieved by NSAIDs.

Patient Data

Age: 61
Gender: Female

There is central erosions with marginal proliferation at both of the DIP and PIP joints. Diffuse loss of cartilage space is noted at inter-phalangeal and first carpometacarpal joints.

Annotated image

Circle highlights the gull-wing appearance of erosive osteoarthritis. 

Case Discussion

Central erosions with marginal proliferation at both of the DIP and PIP joints are compatible with gull-wing appearance. This appearance is consistent with erosive osteoarthritis.

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Case information

rID: 21250
Case created: 12th Jan 2013
Last edited: 2nd May 2017
Inclusion in quiz mode: Included

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