A58-year-old woman was admitted to our rheumatology ward for evaluation and treatment of
seronegative polyarthritis. She had a three-year history of peripheral symmetric arthritis …

A74-year-old man was referred for evaluation of gradually worsening right fourth proximal
interphalangeal (PIP) joint swelling associated with mild pain (Fig. 1). The PIP joint swelling …

The patient presented with 4 weeks of progressive joint swelling and pain affecting bilateral
hands, feet, and ankles. The patient had been nonverbal, hemiplegic, and unable to get out …

A 49-year-old man with psoriasis was referred for pain at both first metatarsophalangeal
(MTP) joints that had first developed at 20 years of age. Examination revealed swelled big …

2 2 A 78-year-old woman was addressed for fatigue, anorexia, diarrhea, pitting legs
“edema”(figure 1A) and a 5-kilogram weight loss in the past 18 months. Her medical history …

The patient, a 57 year-old woman, presented to our rheumatology clinic with an 8-month
history of arthralgia of both hands, wrists, knees, and shoulders. She had been treated with …

A67-year-old Japanese woman with a 4-month history of high fever and swelling and pain in
the finger joints of both hands after injury to her left fourth finger was referred to our hospital …

Background 53 year old female developed pain and swelling of the metacarpophalangeal
and proximal interphalangeal joints of both hands. She was diagnosed to have possible …

Hypertrophic osteoarthropathy (HOA) is a syndrome characterized by digital clubbing and
periostosis of the tubular bones. The secondary form is considered an ominous sign of …

A 63-year-old man with complaints of joint pain and ankle swelling was evaluated. The
arthralgias he described were mainly in the knees, elbows, and shoulders. Accompanying …