PMC4386194_01
a and b: Overview of both hands showing multiple finger malformations in both hands.
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F1
The proximal phalanx of her right thumb was short with overlapping skin, and her left thumb snapped when flexed and extended (Fig.1).
a and b: Radiographs obtained in 1992 showed arthritis in multiple small joints, with bone erosion, in both hands and feet.
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F2
At the time, conventional radiography showed arthritis in multiple small joints, with evidence of bone erosions in both hands and feet (Fig. 2 a b). Some of these joints also showed subluxation (Fig. 2 c d).