PMC4944366_01
PMC4944366_02
(a) Clinical photograph of the patient showing diffuse edema over the dorsum of the hands (boxing glove appearence) (b) Clinical photograph of the patient after three weeks of treatment, with complete resolution of the symptoms and signs
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F1
A 60-year-old male presented with pain in multiple joints (b/l MCP, proximal interphalangeal joints (PIP), wrist, elbow, ankle) along with swelling of the hand up to wrist, since the last two months [Figure 1a]. RS3PE, the patient was given prednisolone (15 mg) and the symptoms resolved within three weeks [Figure 1b]. Remission has been maintained since the last 14 months, without any relapse.
PMC4944366_03
PMC4944366_04
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