BMJ 2015; 350 doi: https://doi.org/10.1136/bmj.h2889 (Published 11 June 2015) Cite this as: BMJ 2015;350:h2889
  1. Leila Ferguson, specialist registrar in dermatology1,
  2. Sanjeev Patel, consultant rheumatologist1,
  3. Colin Holden, consultant dermatologist1
  1. 1Departments of Dermatology and Rheumatology, St Helier Hospital, Carshalton SM5 1AA, UK
  1. Correspondence to: L Ferguson leilaferguson{at}ymail.com

A 24 year old man was referred to rheumatology with a five year history of bilateral, painless, dorsolateral proximal interphalangeal joint swelling of …

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