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Articular and periarticular involvement
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abnormal acute affected allopurinol anaesthetic and/or antibiotics antibodies arthroplasty aspiration associated asymptomatic biopsy bone bursitis cartilage cause cervical spine chondrocalcinosis chronic clinical corticosteroid corticosteroid injection damage deformity demonstrates deposits develop diagnosis disabled disc disorders doses drugs early effusion elbow erosions excision femoral finger flexion fluid function fusion gout hand increased inflammation inflammatory arthritis involvement joint disease joint space knee later lead lesions localised lumbar medial movement MTP joint muscle neck needle nodules normal NSAIDs occasionally occur onset osteoarthritis osteophyte pain paraesthesia patient PIP joints polymyositis present problem procedure produce psoriasis psoriatic psoriatic arthritis radiological rarely reactive arthritis reduced renal replaced joint replacement rheumatic rheumatoid factor rheumatologist risk sacroiliitis scleroderma sclerosis seen severe shoulder skin soft tissue specialist spinal steroid stiffness styloid surgery surgical swelling symptoms syndrome synovectomy synovial synovium tenderness tenosynovitis treatment typical ulceration ulnar usually varus deformity vasculitis weight-bearing wrist X-ray