PMC6247716_01
Deformities involving the toes on both feet.
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A 39-year-old female presented to our orthopaedic clinic with plantar pain and a gait disturbance and deformities involving the toes on both feet (Figure 1).
Plain radiographs of the feet.
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Plain radiographs of the feet showed severe joint destruction in the proximal interphalangeal (PIP) joints of the lesser toes, with joint space widening and digit shortening consistent with arthritis mutilans (Figure 2).
The rash on the chest.
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Although no skin irregularities were observed on the feet, a rash was noted on the chest (Figure 3).
Histologic findings (hematoxylin-eosin (HE), x100).
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Histologic findings were consistent with psoriasis (Figure 4).