Presentation
Bilateral hand pain.
Patient Data
Age: 45 years
Gender: Male
From the case:
Rheumatoid arthritis - hands
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- bilateral and symmetrical involvement
- proximal interphalangeal joint space narrowing
- metacarpal heads erosions
- metacarpophalangeal joint space narrowing
- metacarpophalangeal joint osteopenia
- pancarpal and radiocarpal involvement with erosions
- carpometacarpal erosion
- distal radioulnar joint loss of space
- distal interphalangeal joints spared
- soft tissue swelling
From the case:
Rheumatoid arthritis - hands
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- bilateral and symmetrical involvement
- proximal interphalangeal joint space narrowing (yellow arrows)
- metacarpal heads erosions (red arrows)
- metacarpophalangeal joint space narrowing (blue arrows)
- metacarpophalangeal joint osteopenia (green circles)
- pancarpal and radiocarpal involvement with erosions (yellow circles)
- carpometacarpal erosion (purple arrows)
- distal radioulnar joint loss of space (black arrows)
- distal interphalangeal joints spared
- soft tissue swelling
Case Discussion
This is a known case of rheumatoid arthritis. Rheumatoid arthritis is a relatively common arthritis with a prevalence of 0.5-1% and female preponderance. There are a number of classical imaging features in the hands, as illustrated in this case.
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