WEEKLY RADIOLOGY QUIZ-241

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Presentation transcript:

WEEKLY RADIOLOGY QUIZ-241 CASE OF THE WEEK Fifty five year-old female with painful swelling of the joints in both hands, especially worse in interphalangeal joints. Prize: Back Pack X-ray Normal STUDENTS FROM ALL GRADES AS WELL AS FORMER GRADUATES AND RESIDENTS (EXCEPT RADIOLOGY) MAY REPLY. THE CORRECT ANSWER AND THE WINNER WILL BE ANNOUNCED NEXT WEEK. SEND YOUR ANSWER TO gakansel@gmail.com, NO LATER THAN June 6th, 2016, 09:00 a.m.

WEEKLY RADIOLOGY QUIZ-241 LAST WEEK’S CASE Fifty five year-old female with painful swelling of the joints in both hands, especially worse in interphalangeal joints. Answer: Erosive Osteoarthritis Winner: (Y6) Correct answers: 7 Prize: Back Pack “gull wing” sign CMC arthritis X-ray Normal Erosive OA differs from the more common degenerative arthritis by strong (postmenopausal) female predilection (12:1) and involvement of proximal and distal interphalangeal joints with erosive changes, resulting in the typical “seagull wing” appearance. Clinically simulates psoriatic or rheumatoid arthritis. Rheumatoid factor is negative, and the involvement of the first carpometacarpal (CMC) joint leads to the diagnosis.