31 yr female started having inflammation of tendons on dorsa | Figure 1

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Case Summary

Patient Presentation

31 yr female started having inflammation of tendons on dorsal of hands bilat, one tendon at a time last year (most noted in winter). Tendons non tender, nor painful. Recently started having inflamed and erythema over PIP and DIP that lasts weeks at a time dorsal. Papule are tender. Also is now having on some finger pads petechiae, inflamed, tender. Patient does crochet as a hobby. Are these sx related? What’s the Dx?