A 40-year-old female previous case history of fever, weight loss polyahralgia. The radiological findings given below, what may be your diagnosis?

X-ray image shows destruction of hand. * Rheumatoid ahritis- typically in a female of 30-40 years with complain of polyahralgia, swelling and loss of weight. It usually involves the proximal joints of the fingers and has bilateral involvement. Another classic feature is generalized stiffness after periods of inactivity, especially in the early morning.* Gout - 70% of acute gout affects the 1st metatarsal phalangeal joints.* Psoriatic ahritis - it presents with ahritis of DIP joints. Psoriasis of skin and nails usually precedes the ahritis.* Osteoahritis - it commonly affects DIP and the thumb base in the hand. But it will not present with severely deformed hand.