Case Report: 'Do I have what my mum's got?'

A patient has pain in her fingers and is concerned she might have the same condition her mother has.


Paula is 45 years old, married with two children and working as an office receptionist. The reason for her visit is that she has noticed pain in her fingers.

The symptoms started several weeks ago, when she noticed pain in the distal joint of her right (and dominant) little finger. This resolved only for similar pain to appear in her right index finger distal joint and now in the left little finger too.

On examination, these