case_images: PMC6247716_01
case_images: Deformities involving the toes on both feet.
case_images: CRIRH2018-4216938.001.jpg
case_images: PMC6247716_01_CRIRH2018-4216938.001.jpg
case_images: fig1
case_images: A 39-year-old female presented to our orthopaedic clinic with plantar pain and a gait disturbance and deformities involving the toes on both feet (Figure 1).
case_images: Plain radiographs of the feet.
case_images: CRIRH2018-4216938.002.jpg
case_images: PMC6247716_01_CRIRH2018-4216938.002.jpg
case_images: fig2
case_images: Plain radiographs of the feet showed severe joint destruction in the proximal interphalangeal (PIP) joints of the lesser toes, with joint space widening and digit shortening consistent with arthritis mutilans (Figure 2).
case_images: The rash on the chest.
case_images: CRIRH2018-4216938.003.jpg
case_images: PMC6247716_01_CRIRH2018-4216938.003.jpg
case_images: fig3
case_images: Although no skin irregularities were observed on the feet, a rash was noted on the chest (Figure 3).
case_images: Histologic findings (hematoxylin-eosin (HE), x100).
case_images: CRIRH2018-4216938.004.jpg
case_images: PMC6247716_01_CRIRH2018-4216938.004.jpg
case_images: fig4
case_images: Histologic findings were consistent with psoriasis (Figure 4).