Ace the Case: A 55-Year-Old Woman With Bilateral Hand Pain

Summary and References


Osteoarthritis is the most common type of arthritis and can lead to chronic disability.2 This patient is an older woman with predominant symptoms in her PIPs and DIPs, which are frequently seen in patients with hand OA. She has mild morning stiffness and no personal history of inflammatory bowel disease nor any gastrointestinal symptoms, making an underlying inflammatory arthritis unlikely. Both types of arthritis can share features and symptoms can overlap, making the diagnosis difficult to make. Osteoarthritis is no longer considered only a “wear and tear” arthritis because inflammatory mediators likely play a key role in the pathogenesis of OA.


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