04-14-2007, 06:49 PM
A 23-year-old woman was diagnosed with systemic lupus erythematosus (SLE) at age 13 years when she presented with polyarticular joint swelling. On a regimen of methotrexate and hydroxychloroquine, her joint pain and swelling have been relatively well controlled. The patient™s fingers exhibit both boutonnière and swan-neck deformities, but she is able to make a normal closed fist. What will radiographs of the patient™s hands likely reveal?
Bone fragmentation
Carpal fusion
Erosions in the proximal joints
Marked subchondral cysts
Normal joints
Bone fragmentation
Carpal fusion
Erosions in the proximal joints
Marked subchondral cysts
Normal joints