From the case:
Sarcoidosis - affecting hands
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Lacey, honeycomb-like destruction of phalanges, typical of skeletal sarcoidosis.
Case Discussion
These images are from Dr John Hunter's amazing MSK collection. Dr John Hunter is a professor in the department of radiology (musculoskeletal section) at UC Davis School of Medicine.
This case was donated to Radiopaedia.org by Radswiki.net