PMC3544093_01
Right hand: Note gross swelling in the first web space and clubbing of the nails
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F1
The swelling in the right hand was especially in the first web-space [Figure 1].
AP Radiograph of hands: Lytic destruction of 2nd metacarpal and distal carpal row on radial side of right hand
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F2
Radiographs showed pure lytic bony lesion with complete disappearance of lower two third of the second metacarpal, trapezium and trapezoid bones of the right hand [Figure 2].
AP Radiograph of the right knee: Pure lytic subarticular eccentric destruction. No periosteal reaction
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F3
Radiograph of the right knee showed pure lytic lesion of medial condyle of femur with subarticular extension [Figure 3].