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Opera glass hands (la main en lorgnette)

Case contributed by Jan Frank Gerstenmaier
Diagnosis certain

Presentation

Longstanding history of psoriatic arthritis

Patient Data

Age: 55 years
Gender: Female

DP and ballcatcher's views

x-ray

Proximal as well as distal arthropathy with ankylosis and subluxation. Telescoping of the fingers is shown.

Case Discussion

Both psoriatric and rheumatoid arthritis can produce arthritis mutilans, with characteristic deformities of telescoping. The term la main en lorgnette (opera glass hand)  was coined by Marie and Léri in 1913. 

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