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Image IQ Quiz: Patient Presents with Swollen Joints

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What is your diagnosis from this hand X-ray?

A 35-year-old man presents with intermittent painful inflamed, swollen joints, that worsen during sleep. What does the hand X-ray show?

Case submitted by Mohammad, M.D., radiologist, to radRounds Radiology Network.

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What is your diagnosis?

Degenerative changes from osteoarthritis
Psoriatic arthritis
Rheumatoid arthritis
Gout
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