ABDOMINAL
GENERALISED LYMPHADENOPATHY
Question
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A 44-year-old woman presents to her physician ulnar deviation of the hands and flexion-hypertension (’swan neck” or “walrus flipper") deformities of the fingers. Her metacarpal phalangeal joints are easily exposed to a dislocation and a subluxation. Microscopical examination revealed nodular proliferations of synovium, cartilage destruction and “pannus” formation. What is the most likely diagnosis?
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Rheumatoid arthritis
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Rheumatic arthritis
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Osteoarthritis.
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Lupus erythematosus
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Explanation:
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