26th February 2025

You are reviewing a 55-year-old patient in rheumatology clinic.

You are reviewing a 55-year-old patient in rheumatology clinic. She has a diagnosis of SLE. She is complaining about joint pains and also the appearance of her hands. She experiences migratory arthralgia, mainly in the small joints of her hands and knees. 

On examination, you note ulnar deviation of her fingers, however you are able to reduce this easily. There is no synovitis.

An X-ray of her hands is performed which shows no evidence of erosions or degeneration. 

What is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.