Splinter/linear hemorrhages

Linear hemorrhages, i.e. splinter hemorrhages, seen on the nails may be a clue to an underlying connective tissue disease, such as antiphospholipid antibody syndrome. For an image, please see:...

Heberden’s nodes

Heberden’s nodes in the DIP-joints due to formation of bony nodules, a clinical sign seen in patients with osteoarthritis. More commonly seen than Bouchard’s nodes. Case courtesy of Dr. Roberto Schubert, Radiopaedia.org, rID: 15934

Bouchard’s nodes

Bouchard’s nodes in the PIP-joints due to formation of bony nodules, a clinical sign seen in patients with osteoarthritis. Case courtesy of Dr. Samir Benoudina, Radiopaedia.org, rID: 43417

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)