Patient Case: Anyone seen these x-rays before?

Rheumatology member in G- Med's physicians community have uploaded this case:

 

46/F admitted for investigation of loss of weight 10kg and fever x4/12.
I was called to see her for Rt wrist RA and flexion deformities of PIPJ,possibly RA.

 

What are unusual are the tapered phalanges in the toes and thickened prox phalanges of the hands...


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Anyone seen these x-rays before?

 

 

 

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