Image Based Question – 74918

Question

A woman presents with pain, swelling and redness of knee joint and hand. There were associated complaints of Morning stiffness with problem in squatting. The swelling spared the DIP joints. The image of the patient’s hands is shown below. What is the most likely diagnosis?

A. Rheumatoid Arthritis

B. Heberden nodes on preexisting osteo arthritis

C. Tenosynovitis of extensor tendon of MCP joints

D. Post traumatic dystrophy with Complex regional pain syndrome

 

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