Case 7

Joel David, Anne Miller, Anushka Soni and Lyn Williamson

in Oxford Case Histories in Rheumatology

Published on behalf of Oxford University Press

Published in print October 2011 | ISBN: 9780199587506
Published online November 2012 | e-ISBN: 9780191753442 | DOI:

Series: Oxford Case Histories

Case 7

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A 49-year-old Caucasian male presented with a 10-week history of bilateral swelling and stiffness of his MCP joints. His hands were stiff for 15 minutes every morning. He had a 10-year history of mechanical back pain and was on the waiting list for left hip replacement. He had had a right total knee replacement at age 40 years. He had previously been a high-level rugby player. Family history was unremarkable. On examination he had tender swelling of the second and third MCP joints of both hands. He had painless restriction of left ankle and subtalar joint movement.

Chapter.  1586 words.  Illustrated.

Subjects: Rheumatology

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