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Submitted: 22 May 2020 | Approved: 27 May 2020 | Published: 28 May 2020

How to cite this article: Mullick G, Handa A, Chauhan V. Opera-glass hand with arthritis mutilans in psoriatic arthritis. J Clin Med Exp Images. 2020; 4: 002-002.

DOI: 10.29328/journal.jcmei.1001015

Copyright: © 2020 Mullick G, et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Opera-glass hand with arthritis mutilans in psoriatic arthritis

Gautam Mullick1, Ajay Handa2 and Vikas Chauhan3

1Department of Rheumatology, MD, DNB, INHS ASVINI, Mumbai, India
2Department of Pulmonary Medicine, MD, DM, INHS ASVINI, Mumbai, India
3Department of Radiology, MD, INHS ASVINI, Mumbai, India

*Address for Correspondence: Gautam Mullick, Department of Rheumatology, MD, DNB, INHS ASVINI, Mumbai, India, Tel: 8800540270; Email: gautammullick@yahoo.com

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A 42 years old gentleman who was a known case of Psoriasis vulgaris since last 5 years presented to the Rheumatology clinic with inflammatory arthritis predominantly involving the joints of the upper extremities. Musculoskeletal examination of both hands revealed dactylitis and distal interphalangeal joint arthritis. He had a shortened right ring finger with excessive transverse skin folding suggestive of an Opera-Glass hand (Figure 1A). A Radiograph of the same revealed arthritis mutilans with complete resorption of the middle phalanx (Figure 1B).


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Figure 1: Opera-Glass hand (A) and arthritis mutilans with complete resorption of middle phalanx (B) in a patient of psoriatic arthritis.