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A 64 year old male presents with a symmetrical arthritis of both "hands (history from the GP letter) with early morning stiffness. His X-rays of his hands done before clinic show the following:  Periarticular osteoporosis of the MCP joints Erosion on the ulnar styloid Symmetrical distribution of disease Reduced joint space at the carpal bones

a. Ankylosing Spondylitis
b. Rheumatoid arthritis
c. Gout
d. Secondary Osteoarthritis
e. Psoriatic Arthritis
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b. Rheumatoid arthritis
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