Presentation
Right shoulder pain. Boggy AC joint. Tender glenohumeral joint. Skin psoriasis with marked nail changes. Bloods unremarkable.
Patient Data
Age: 35 years
Gender: Female
Frontal
Heart size normal. Lungs clear.
Normal mediastinal contours.
The medial aspects of both clavicles are normal.
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Frontal
Subchondral lucency of the lateral aspect of the clavicle at the AC joint with associated cortical erosion.
Case Discussion
New onset osteolysis of the lateral aspect of the clavicle.
The differential for osteolysis of the lateral end of the clavicles includes psoriasis, for which a strong clinical history is provided from the primary care referrer.
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