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Case of the Week 324

What's the most likely diagnosis?

  • 37 year-old female with deformities of both hands

  1. Psoriasis
  2. Gout
  3. Reiter's syndrome
  4. Multicentric reticulohistiocytosis
  5. Osteoarthritis

Additional Images - Frontal radiograph of the right hand


Additional Images

Frontal radiograph of the right hand


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


More ...

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