[The rheumatoid hand].

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Abstract

[Indexed for MEDLINE] 2. Radiology. 2023 Apr;307(1):e220629. doi: 10.1148/radiol.220629. Case 316. Gupta A(1), Bagri N(1), Chandola S(1), Jana M(1). Author information: (1)From the Department of Radiodiagnosis and Interventional Radiology (A.G., S.C., M.J.) and Department of Pediatrics (N.B.), All India Institute of Medical Sciences, New Delhi 110029, India. A 10-year-old North Indian boy presented with swelling of multiple joints in his hands for the past 3 years. This swelling involved the small joints of his hands and some restriction of joint movement, without any associated tenderness or morning stiffness. No other joints were symptomatically involved. Prior to visiting our hospital, he had received disease-modifying antirheumatoid drugs for suspected juvenile idiopathic arthritis, without any clinical benefit. On examination, the metacarpophalangeal and interphalangeal joints were nontender but had swelling and flexion deformities. He also had a short stature (below the third centile) for his age. Inflammatory markers, including erythrocyte sedimentation rate (7 mm per hour; normal range, 0-22 mm per hour) and C-reactive protein level (1.5 mg/L; normal level,