A 60 y.o. patient complains of pain in interphalangeal joints of hand that gets worse during working. Objectively: distal and proximal joints of the II-IV fingers are defigured, with Heberden's and Bouchard's nodes, painful, stiff. X-ray picture of joints: joint spaces are constricted, there are marginal osteophytes, subchondral sclerosis. What is the most probable diagnosis?

Answer options

1. Osteoarthritis
2. Reiter’s disease
3. Bechterew’s disease
4. Rheumatic arthritis
5. Psoriatic arthritis

Explanation

A 60 y.o. patient complains of pain in interphalangeal joints of hand that gets worse during working. Objectively: distal and proximal joints of the II-IV fingers are defigured, with Heberden's and Bouchard's nodes, painful, stiff. X-ray picture of joints: joint spaces are constricted, there are marginal osteophytes, subchondral sclerosis. What is the most probable diagnosis?Osteoarthritis sometimes called a degenerative joint disease or degenerative arthritis, osteoarthritis (OA) is the most common chronic condition of the joints. OA can affect any joint, but it occurs most often in knees, hips, lower back and neck, small joints of the fingers, and the bases of the thumb and big toe. In OA, the cartilage breaks down, causing pain, swelling, and problems moving the joint. As OA worsens over time, bones may break down and develop growths called spurs. In the final stages of OA, the cartilage wears away and bone rubs against bone leading to joint damage and more pain. It is most common in people older than 60. Common risk factors include increasing age, obesity, previous joint injury, overuse of the joint, weak thigh muscles, and genes.Note: Heberden’s and Bouchard’s nodes are a sign of osteoarthritis and are caused by the formation of osteophytes (calcific spurs) of the articular (joint) cartilage in response to repeated trauma at the joint.