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Case of the Week 324 
What's the most likely diagnosis?
- 37 year-old female with deformities of both hands
- Psoriasis
- Gout
- Reiter's syndrome
- Multicentric reticulohistiocytosis
- Osteoarthritis
Additional Images - Frontal radiograph of the right hand
Additional Images
Frontal radiograph of the right hand
Answer:
4. Multicentric reticulohistiocytosis
More (Click Discussion Tab)
Multicentric reticulohistiocytosis
General Considerations
- Rare disease with proliferation of histiocytes characterized by skin lesions and arthritis
- Erosive symmetrical polyarthritis
- Multiple cutaneous nodules
- Primarily middle-aged adult women with a mean age of 43
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