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Image Challenge This 43-year-old patient presented with bilateral pain, swelling, and stiffness in the hands and feet.

This 43-year-old patient presented with bilateral pain, swelling, and stiffness in the hands and feet.

image

Question

This 43-year-old patient presented with bilateral pain, swelling, and stiffness in the hands and feet. Her chest radiograph was abnormal. What is the most likely diagnosis?

Miliary tuberculosis
Psoriasis
Syphilis
Reiter syndrome
Sarcoidosis
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