Solve this exciting clinical case, specific to your field of interest via Docplexus’ Clinical Case Challenge. Join your fellow doctors to discus s and answer today’s challenge. Case presentation A 12-year-old boy presented with a complaint of multi-focal digital swelling on both his hands . He developed this swelling gradually over six weeks , on the first and fourth digits of his right hand , followed by the fifth digit on his left hand . The swelling was painful and did not resolve after treatment with non-steroidal anti-inflammatory medication.
There was no associated fever. The child denied any history of trauma. Medical history Anorexia nervosa The patient was hospitalized four months before the presentation for malnutrition, orthostasis, and bradycardia. Physical examination Fusiform swelling limited to phalanges of the first and fourth digits of his right hand and the fifth digit…
