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  Indian J Med Microbiol
 

Figure 1: (a) Symmetric polyarthritis involving small joints of both thumbs along with psoriatic nail changes and skin involvement. Note the involvement of proximal interphalangeal (PIP) joint of left index finger. (b) Symmetric polyarthritis involving joints of toes. (c) Symmetric polyarthritis involving both knee joints

Figure 1: (a) Symmetric polyarthritis involving small joints of both thumbs along with psoriatic nail changes and skin involvement. Note the involvement of proximal interphalangeal (PIP) joint of left index finger. (b) Symmetric polyarthritis involving joints of toes. (c) Symmetric polyarthritis involving both knee joints