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Hemochromatosis: hand arthropathy

Case contributed by Dr Jan Frank Gerstenmaier

Presentation

This patient punched a wall and was assessed in the ED for a possible boxer's fracture.

Patient Data

Age: 50
Gender: Male
X-ray

Radiographs of right hand

There is metacarpophalangeal joint space narrowing and there are overhanging osteophytes of the metacarpal heads of the right index and long fingers. No fracture or dislocation.

Annotated image

Overhanging (hooked) osteophytes of the metacarpal heads of the right index. 

Case Discussion

The overhanging osteophytes (a.k.a. hooked or beak-like osteophytes) at the heads of the metacarpals of index and long fingers are typical for hemochromatosis. Chondrocalcinosis is not prominent in this case. The main differential diagnosis of hemochromatosis is CPPD.

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Case information

rID: 25057
Published: 1st Oct 2013
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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