Answer to question of the day – symmetrical arthritis
June 9th, 2009
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 to RA however but the findings were symmetrical
both gout and [...]