Arthritis – Gout
Acute Gouty Arthritis
Classic inflammation resembling cellulitis of the first metatarsophalangeal (MTP) joint, referred to as podagra. The first MTP is the most common site of initial involvement. (Courtesy Dr. A. Fam)
Systemic Lupus Erythematosus – SLE
Prominent scaly fixed erythema, flat or raised over malar eminences, tending to spare nasolabial folds (“butterfly rash”).
Scleroderma
Sclerodactyly showing bilateral swelling, a shiny wax-like appearance, and tapering of the fingers. May also note digital ulcers, nailfold telangiectasia, and periarticular calcinosis. Flexion contractures present in advanced disease. (Courtesy Dr. A. Fam)
Rheumatoid Arthritis No. 2
Note subluxation of digits at the metacarpophalangeal (MCP) joints and rheumatoid nodules at 2nd and 3rd MCPs. (Courtesy of Dr. D. Jerome)
Rheumatoid Arthritis No. 1
Significant ulnar deviation of the digits, typical of rheumatoid arthritis.
Raynauds phenomenon
Note white discolouration of digits. (Courtesy of Dr. D. Jerome)
Psoriatic Arthritis – Onycholysis
Onycholysis: Lifting of the nail starting at the distal end, seen in psoriatic arthritis. (Courtesy of Dr. D. Jerome)
Psoriatic Arthritis
Nail pitting seen in psoriatic arthritis. (Courtesy of Dr. D. Jerome)
Discoid Lupus Erythematosus
Violaceous, hyperpigmented, atrophic plaques; keratotic scale with follicular plugging and scarring. (Courtesy Dr. L. From)
Dermatomyositis No. 2
Classic heliotrope rash of periorbital and perinasal violaceous erythema. (Courtesy Dr. M. Urowitz)
