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General Medicine General d9a76e3b

A 40-year-old female patient presented to the OPD with joint pain in the wrist, MCP, PIP and DIP joints B/L. The involved joints were tender and swollen. Patient also gave a history of ceain skin lesions which occurred before the joints were involved along with ceain nail changes were also seen. Lab findings revealed HLA- B27 positivity. Which of the following x ray findings most commonly correlates with the above condition: -

A
<img style="max-width: 100%" src=" />
B
<img style="max-width: 100%" src=" />
C
<img style="max-width: 100%" src=" />
D
All of the above are seen.

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