64 year old male presents with a symmetrical arthritis of both - TopicsExpress

64 year old male presents with a symmetrical arthritis of both hands (history from the GP letter) with early morning stiffness. His X-rays of his hands done before clinic show the following: Periarticular osteoporosis of the MCP joints Erosion on the ulnar styloid Symmetrical distribution of disease Reduced joint space at the carpal bones What is the most likely diagnosis? a. Ankylosing Spondylitis b. Rheumatoid arthritis c. Gout d. Secondary Osteoarthritis e. Psoriatic Arthritis pasha

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