case_images: PMC5317066_01
case_images: Normal plain radiography of both painful hands
case_images: IJNM-32-30-g001.jpg
case_images: PMC5317066_01_IJNM-32-30-g001.jpg
case_images: F1
case_images: The radiography of the upper and lower limbs did not show any abnormality [Figure 1].
case_images: Anterior (a) and posterior (b) whole body bone scan demonstrated a largely symmetric polyarthropathy affecting large and small joints in the upper and lower limbs. Note the diffusely increased uptake with a parallel track pattern of hypertrophic pulmonary osteoarthropathic in the femurs and tibiae
case_images: IJNM-32-30-g002.jpg
case_images: PMC5317066_01_IJNM-32-30-g002.jpg
case_images: F2
case_images: The images of the whole body [Figure 2], blood pool, and delayed uptake [Figure 3] showed multiple areas of intense increased MDP uptake in the bilateral interphalangeal and metacarpophalangeal joints of hands, wrist, elbow, and shoulders and less intense increased uptake in the foot joints.
case_images: On bone scan of both hands, there is increased blood pool activity (a) and delayed uptake (b) in the areas of the joint involved
case_images: IJNM-32-30-g003.jpg
case_images: PMC5317066_01_IJNM-32-30-g003.jpg
case_images: F3
case_images: The images of the whole body [Figure 2], blood pool, and delayed uptake [Figure 3] showed multiple areas of intense increased MDP uptake in the bilateral interphalangeal and metacarpophalangeal joints of hands, wrist, elbow, and shoulders and less intense increased uptake in the foot joints.