Morning stiffness; deformity of digits; rheumatoid factor positive.
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Periarticular osteoporosis with symmetrical joint space narrowing especially at proximal interphalangeal joints, metacarpophalangeal joints, intercarpal and radiocarpal joints bilaterally
Increased soft tissue density of the wrists and MCP joints
Ulnar deviation of MCP joints
Known case of rheumatoid arthritis from 12 years ago who underwent DMARDs treatment (methotrexate and chloroquine) who referred with the flare-up the symptoms.
Rheumatoid arthritis (RA) is a chronic multi-system disease with predominant musculoskeletal manifestations. Being a disease that primarily attacks synovial tissues, RA affects synovial joints, tendons, and bursae.