| Rheumatology Case 6 | |
|---|---|
 A
42 year old woman with a 6 year history of symmetrical polyarthritis
presented with poor grip. Clinical examination revealed hypermobility
of the finger joints, with shortened digits and excessive skin
folds. The rheumatoid factor was positive and CRP and ESR were
raised. Hand X-rays showed severe resorptive arthropathy affecting
carpal and metacarpal joints. The differential diagnosis consists
of: 1. Rheumatoid arthritis 2. Psoriatic arthritis 3. Scleroderma/resorptive arthropathy 4. Paraneoplastic resorptive arthropathy
|