Rheumatoid arthritis - feet

Case contributed by Ian Bickle
Diagnosis almost certain

Presentation

Patient attending rheumatology clinic for several years with hand and feet pains.

Patient Data

Age: 45
Gender: Male
x-ray

Marginal erosions involving the MTP joint of the right little toe.

Associated periarticular subchondral lucency.

Case Discussion

Rheumatoid disease is a multi-system disorder, most associated with musculoskeletal manifestations.

It is usually a seropositive arthrititis, characterized by an erosive arthropathy.

A large component of modern care of these diseases is early aggressive treatment, including with biological therapies, before the radiographic findings become apparent.

The patient was a known rheumatoid arthritis sufferer.

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