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Medicine

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Rheumatology

Question
6 out of 13
 

Heberden’sarthropathy affects (AI 2005)



A Lumbar spine
B Symmetrically large joints

C Sacroiliac joints
D Distal interphalangeal joints

Ans. D Distal interphalangeal joints

Pattern of joint involvement

Osteoarthritis

Rheumatoid arthritis

Psoriatic arthritis

Involved

PIP, DIP & 1st CMC (carpometacarpal) joints

PIP, MCP, wrist

DIP, PIP and any joint

Spared

MCP & wrist

DIP joint

Sparing of any joint

Important conditions involving hand joints:

PIP = RA, OA, Psoriases

PIP + DIP = OA, Psoriases

PIP + DIP + MCP + Wrist = Psoriases

PIP + DIP with sparing of MCP and wrist but involvement of thumb base = OA

Extra Edge:

i. Bouchard’s nodes: Bony enlargement of PIP joint in osteoarthritis

ii. Heberden’s nodes: Bony enlargement of DIP joint in osteoarthritis.

Rheumatology Flashcard List

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