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HomeAnswersRadiodiagnosisosteoarthritisHow to confirm erosive osteoarthritis in hands?

What is the chance of osteoarthritis in hands being erosive?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At March 20, 2020
Reviewed AtFebruary 21, 2024

Patient's Query

Hello doctor,

I have been diagnosed with osteoarthritis in both hands. One doctor suggested erosions in the left hand while another read that the right hand did not see evidence of that. I was wondering what your opinion is, do you agree with osteoarthritis diagnosis and if so is there evidence of erosions? All blood were negative for any autoimmune causes, anti nuclear antibody (ANA), rheumatoid factor (RF), erythrocyte sedimentation rate (ESR), C reactive protein (CRP), etc.

Hi,

Welcome to icliniq.com. Osteoarthritis is not an autoimmune disorder, so autoimmune markers are expected to be negative. In an osteoarthritic joint, as cartilage is irreversibly destroyed and bone abnormalities develop, movement becomes painful and more difficult. In my opinion, regarding left-hand x-ray (attachment removed to protect patient identity), I agree there is interphalangeal joint (distal more pronounced) narrowing and sclerosis. I hope this helps. The probable diagnosis is osteoarthritis. Treatment plan include: 1. Anti-inflammatory and pain medication such as Acetaminophen and non-steroidal anti-inflammatory drugs, topical analgesics. 2. Injections of Cortisone to decrease inflammation and physical occupational therapy, self-management strategies.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ismail Mikdat Kabakus
Dr. Ismail Mikdat Kabakus

Radiology

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