Psoriatic arthritis of hands
Pain and swelling in fingers in a patient with background of psoriasis.
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Peri and subarticular erosive changes are present in relation to the third, fourth and fifth DIP and the 5th PIP joints on the left and the DIP joint of the right fourth and MCP joint of the fifth finger on the right. There is associated joint space narrowing. Marginal osteophytes are also present particularly in the right fifth MCP and the left IP joints
There is soft tissue swelling in relation to the involved joints.
There is flexion deformity of the left fifth finger at the PIP joint, hyperflexion of the left PIP and flexion deformity of the left middle finger DIP joint.
The imaging features confirm an erosive arthropathy such as psoriatic arthritis.