Article Text
Opera glass hands: the phenotype of arthritis mutilans
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Description
A 51-year-old man was diagnosed with psoriatic arthritis at the age of 18.
For the last 20 years he refused treatment, abandoned any follow-up and was unseen by any health professional. The patient became unable to walk 17 years ago and then went blind 10 years ago.
The patient entered the emergency room prostrated; on examination, he was found …