Round # 6

• Clinical History
• Radiographs
• Description of Radiographic Findings

Clinical History

The patient is a 56 year old woman who was diagnosed with SLE at the age of 20 when she presented with a symmetric inflammatory polyarthritis, skin rash, and a high titer ANA following the birth of her first child. Her only other lupus-related symptom has been intermittent oral ulcers. She has been treated with low to intermediate dose corticosteroids over the past several years, and despite this treatment continues to have significant stiffness and low-grade synovitis. Joint examination reveals synovitis of the MCP joints bilaterally, with significant reducible volar subluxation and ulnar deviation. Radiographs of the hands were promptly obtained.

Radiographic Films

Film 1

Film 2

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