All are true about the condition except?
Correct Answer: Tender Nodes
Description: The image shows nodules on extensor distribution along with peripheral smear showing presence of normocytic anemia. The first differential to be considered is rheumatoid ahritis. The nodules are non-tender and are a late feature and hence not considered in diagnostic criteria for Rheumatoid ahritis. "Piano-key movement" of the ulnar styloid occurs due to inflammation about the ulnar styloid and tenosynovitis of the extensor carpi ulnaris. "Z-line deformity" is due to subluxation of the first MCP joint with hyperextension of the first interphalangeal (IP) joint due to damage to the tendons, joint capsule.
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