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		<title>Question of the day &#8211; symmetrical arthritis</title>
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		<pubDate>Tue, 02 Jun 2009 20:42:53 +0000</pubDate>
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				<category><![CDATA[Medical Education]]></category>
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		<description><![CDATA[A 64 year old male presents with a symmetrical arthritis of both hands      (history from the GP letter) with early morning stiffness. His X-rays of his hands done before clinic show the following:
Periarticular osteoporosis of the MCP joints
Erosion on the ulnar styloid
Symmetrical distribution of disease
Reduced joint space at the carpal [...]]]></description>
			<content:encoded><![CDATA[<p>A 64 year old male presents with a symmetrical arthritis of both hands      (history from the GP letter) with early morning stiffness. His X-rays of his hands done before clinic show the following:</p>
<p>Periarticular osteoporosis of the MCP joints<br />
Erosion on the ulnar styloid<br />
Symmetrical distribution of disease<br />
Reduced joint space at the carpal bones<br />
<em><br />
</em><strong>What is the most likely diagnosis?</strong></p>
<blockquote>
<div class="Section1">a. Ankylosing Spondylitis<br />
b. Rheumatoid arthritis<br />
c. Gout<br />
d. Secondary Osteoarthritis<br />
e. Psoriatic Arthritis</div>
</blockquote>
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