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