ABDOMINAL
GENERALISED LYMPHADENOPATHY
Question
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A 62-year-old woman presents to her physician with considerable deformation of metacarpal phalangeal and feet joints. Histological examination of the soft tissues adjacent to the joints revealed a mucoid swelling of the connective tissue, areas of a fibrinoid necrosis surrounded by palisading epithelioid macrophages and sclerosis. Few ‘rice bodies’ were found within a synovia! cavity. What is the most likely diagnosis?
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Rheumatic arthritis
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Rheumatism
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Behterev’s Disease
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Hematogenic tuberculosis
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Explanation:
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