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Diagnosis: Psoriatic arthritis

Patterson RAP - MedPix

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Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Diagnosis: Psoriatic arthritis

History: History (can include gestational age, or age in days, weeks, months): Patient with known psoriasis, now taking Enbrel. Patient presents with pain and stiffness in both hands, made worse by inactivity and relieved somewhat by movement.

Findings: Radiographic Findings: Symmetric joint space loss in the distal interphalangeal joints and proximal interphalangealjoints bilaterally. Erosions involving the metacarpal heads and fluffy erosions involving the ulnar styloid. Erosion of the pisiforms bilaterally. Normal bone mineralization and no remarkable soft tissue changes

Ddx: Differential Diagnosis for these findings in this case: Psoriatic arthritis, erosive osteoarthritis

Exam: Physical Exam and Laboratory: Patient is tender to palpation over the DIP and PIP joints in both hands. No significant effusions noted over the joint spaces. Laboratory results reported normal ESR levels

No MeSH data available.


Lateral radiograph of the hands and wrists shows symmetric joint space loss in the distal interphalangeal joints and proximal interphalangeal joints bilaterally. Normal bone mineralization and no remarkable soft tissue changes.
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MPX1286_synpic23825: Lateral radiograph of the hands and wrists shows symmetric joint space loss in the distal interphalangeal joints and proximal interphalangeal joints bilaterally. Normal bone mineralization and no remarkable soft tissue changes.


Diagnosis: Psoriatic arthritis

Patterson RAP - MedPix

Lateral radiograph of the hands and wrists shows symmetric joint space loss in the distal interphalangeal joints and proximal interphalangeal joints bilaterally. Normal bone mineralization and no remarkable soft tissue changes.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1286&req=5

MPX1286_synpic23825: Lateral radiograph of the hands and wrists shows symmetric joint space loss in the distal interphalangeal joints and proximal interphalangeal joints bilaterally. Normal bone mineralization and no remarkable soft tissue changes.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Diagnosis: Psoriatic arthritis

History: History (can include gestational age, or age in days, weeks, months): Patient with known psoriasis, now taking Enbrel. Patient presents with pain and stiffness in both hands, made worse by inactivity and relieved somewhat by movement.

Findings: Radiographic Findings: Symmetric joint space loss in the distal interphalangeal joints and proximal interphalangealjoints bilaterally. Erosions involving the metacarpal heads and fluffy erosions involving the ulnar styloid. Erosion of the pisiforms bilaterally. Normal bone mineralization and no remarkable soft tissue changes

Ddx: Differential Diagnosis for these findings in this case: Psoriatic arthritis, erosive osteoarthritis

Exam: Physical Exam and Laboratory: Patient is tender to palpation over the DIP and PIP joints in both hands. No significant effusions noted over the joint spaces. Laboratory results reported normal ESR levels

No MeSH data available.