Abstract
A 50-year-old male presented with a 26-year history of systemic lupus erythematosus. Past features of his disease included pericardial effusions, rash, Raynaud phenomenon, oral ulcers, and arthritis of his hands. His antinuclear antibody test was strongly positive and rheumatoid factor was negative. Examination of his hands revealed deformities resembling swan-neck deformities (Figure 1), however, radiographs showed no erosive changes, consistent with a diagnosis of Jaccoud arthropathy.
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