case_images: PMC11304369_01
case_images: PMC11304369_02
case_images: PMC11304369_03
case_images: PMC11304369_04
case_images: (a and b) Hyperkeratotic lesions on the dorsal aspect of the patient's hand with fixed flexion deformities of the proximal and distal interphalangeal joints and hyperkeratinisation of the nails was noticed.
case_images: SAJID-39-648-g001.jpg
case_images: PMC11304369_04_SAJID-39-648-g001.jpg
case_images: F0001
case_images: Hyperkeratinisation of the nails was found on both hands (Figure 1).
case_images: (a and b) X-ray of patient's left hand, demonstrating osteoarticular destruction at multiple sites.
case_images: SAJID-39-648-g002.jpg
case_images: PMC11304369_04_SAJID-39-648-g002.jpg
case_images: F0002
case_images: X-rays of the patient's hands demonstrated multifocal osteoarticular erosion of joints of the fingers (Figure 2).
case_images: PMC11304369_05
case_images: PMC11304369_06