A 52-Year-Old Man Comes to the Office Due to Difficulty

A 52-year-old man comes to the office due to difficulty using his left hand.  Over the last year, he has had progressive stiffness at the palm and third and fourth digits, which has led to difficulty doing yard work and typing at his computer.  The patient has tried splints and warm compresses without relief.  He has no history of trauma to the hand and no other musculoskeletal issues.  On examination, the patient has decreased extension at the left third and fourth metacarpophalangeal joints.  Findings of the left hand examination are shown below: Which of the following is most closely associated with this patient's condition?

A) Acromegaly
B) Ankylosing spondylitis
C) Diabetes mellitus
D) Lung cancer
E) Psoriasis

Correct Answer:

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