Rheumatoid arthritis

Case contributed by Bahman Rasuli
Diagnosis almost certain


Morning stiffness; deformity of digits; rheumatoid factor positive.

Patient Data

Age: 70 years
Gender: Female

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

Case Discussion

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.

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