PMC8273899_01
Two views of hands and feet with swelling of metacarpals, metatarsals, and phalanges.
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Physical examination revealed the visibly enlarged distal interphalangeal (DIP) joint of the left middle finger, the proximal interphalangeal (PIP) joint of the right index finger, and the interphalangeal joint of the left great toe with a firm, fusiform swelling that involved the proximal and middle phalanges, with overlying erythema (See Figure 1).
The X-ray images of two upper extremities and lower extremities showed decreased joint space with periarticular erosions and subluxation.
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X-rays of hands and feet showed decreased joint space with periarticular erosions and subluxation, suggesting that the patient might have tuberculous arthritis (See Figure 2).
The plain X-ray of the patient's chest showed pleural effusion.
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Chest X-ray showed pleural effusion (See Figure 3).
Patient with swelling of both hands and feet before treatment (A) and no swelling in hands and feet, no pleural effusion after successful treatment (B).
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