RT Book, Section
A1 Usatine, Richard P.
A1 Smith, Mindy A.
A1 Chumley, Heidi S.
A1 Mayeaux, E.J.
SR Print(0)
ID 57676005
T1 Chapter 95. Arthritis Overview
T2 The Color Atlas of Family Medicine, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176964-8
LK accessmedicine.mhmedical.com/content.aspx?aid=57676005
RD 2024/04/24
AB A  50-year-old  woman  presents  with  new  complaint  of  pain  in  several  fingers.  She  has  had  psoriasis  for  many  years;  however,  she  only  developed  joint  pain  last  year.  Her  examination  is  significant  for  swelling  and  tenderness  at  the  distal  interphalangeal  (DIP)  joints  of  her  second,  third,  and  fourth  fingers  (Figure  95-1,  A).  She  had  an  elevated  erythrocyte  sedimentation  rate  (ESR)  and  radiographs  with  erosive  changes  (Figure  95-1,  B).  Choices  for  therapy  include  methotrexate  and  the  new  biologic  anti-tumor  necrosis  factor  (TNF)-α  medications.