Pain, morning stiffness and symmetric swelling in the hands 6 weeks post partum.
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There is periarticular osteopenia in relation to joints of the hand as well as the wrist bilaterally. There are small sub articular erosions of the PIP joints particularly of the index and middle fingers bilaterally. The joint spaces are narrowed in the proximal interphalangeal joints bilaterally. There is separation of the ulnar styloid processes bilaterally. There is narrowing of the radiocarpal joints bilaterally.
Findings are indicative of an inflammatory arthropathy such as rheumatoid arthritis. A positive rheumatoid factor test supports the diagnosis.