ABSTRACT

Answer 2 The X-rays exhibit periarticular soft tissue swellings, periarticular osteopenia, erosion of the ulnar styloid and periarticular erosion.

A 39-year-old woman presents to her GP with a twomonth history of pain in her hands that is associated with swelling of her fingers and stiffness of her joints. The symptoms are worse in the morning. She has not had any previous serious illnesses.