DrMo-UC

Family Medicine

Mechanic with progressively worsening joint changes but no pain

50s male with progressive deformities as shown and reports no pain and no history of trauma. Seromarkers are negative for inflammatory arthritis.

The author made 2 updates to this case

Update 1

The patient was brought back for follow up and reports history of patchy psoriasis outbreak but nothing seen at this time. Reports that his wrists are his biggest concerns due to limited mobility.

Update 2

The working diagnosis is psoriatic arthritis and the patient will be managed based on this.

Diagnosis Added

psoriatic arthritis

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