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Imaging in Rheumatology

Imaging in Rheumatology

This case and a bonus set of images from another woman with the same diagnosis reveal some of the many manifestations of her condition. Can you guess her diagnosis?

Radiographs, CT and MRI images from two patients with scleroderma demonstrate muscle and lung involvement and other signs of connective tissue disorder.

An 82-year-old man with hypertension and gout developed periods of dizziness, neck pain, and arm weakness. Could the gout be responsible?

Images taken 7 months apart show subtle densities of the left knee that has been causing pain. The woman also has subluxation of the fingers, without erosion.

Chronic back pain is so common that radiographic evidence of inflammatory back pain is often used to diagnose early axial spondylitis. But Dutch researchers say that use of imaging alone could miss 20% of all spondyloarthritis cases.

Returning from the Phillipines, the patient came to the clinic with atraumatic right knee swelling and loss of range of motion. He arrived in a wheelchair. He had osteoarthritis, but denied any constitutional symptoms. Joint aspiration produced grossly milky white pus. What's going on?

The 49-year-old patient was admitted after two weeks of cough and hemoptysis culminating in chills, night sweats, and left-sided chest pain radiating to the shoulder. He is hypertensive and diabetic, has a history of retinitis and pan-uveitis, and a pacemaker has been implanted.

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