PMC6197321_01
(A) Initial radiography of the patient's right hand showing mild osteolytic lesions of the 1st and 2nd distal phalanges with joint space narrowing in several interphalangeal joints. (B) Only two years later, aggravating acro-osteolysis is evident in all distal phalanges with multiple calcifications observed.
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An initial radiograph of the right hand showed mild lytic changes of the second distal phalanx and narrowing of the joint space in several interphalangeal joints (Fig. 1). Right hand serial radiographs revealed bone resorption of the distal phalanges, or acro-osteolysis, with calcified deposits in several hand and wrist joints (Fig. 1).
Calcification embedded in the 4th proximal interphalangeal joint causing inflammation and pain.
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The calcified deposit of the right fourth proximal interphalangeal joint was excised under local anesthesia (Fig. 2).