Shortening of fingers and onycholysis
Author and Disclosure Information [Show]

Herbert S. Diamond, MD, Professor of Medicine (retired), Temple University School of Medicine, University of Pittsburgh; Chairman Department of Medicine Emeritus, Western Pennsylvania Hospital, Pittsburgh, PA

Herbert S. Diamond, MD, has disclosed no relevant financial relationships.

Question 1 of 3

A 48-year-old woman presents with shortening of the third and fourth finger of the right hand and onycholysis. Height is 5 ft 5 in and weight is 146 lb (BMI 24.3). The patient was diagnosed with psoriasis at age 40 and developed arthritis involving the hands at 45. She has been treated intermittently with tumor necrosis factor inhibitor (TNFi) biologic therapy.

What is the most likely diagnosis?

Rheumatoid arthritis

Pauciarticular psoriatic arthritis

Psoriatic arthritis mutilans

Septic arthritis

This quiz is not accredited for CME.

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