The answer is…. b. Rheumatoid arthritis Symmetrical disease? Erosions? This is classical of RA X-ray changes that include 1. Erosions 2. Reduced joint space 3. Peri-articular osteoporosis 4. Nodules So from the initial history of disease [small joints, both hands], the likely diagnoses would be RA PsA (less likely) gout. Erosive changes are not specific [...]
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