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Clinical image: synovitis of the metacarpophalangeal joints

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  • Handling editor Josef S Smolen

  • Contributors LvdW drafted the manuscript, prepared the submission and was involved in the clinical care of the patient. MM reviewed the manuscript and was the consultant radiologist involved in the patient’s care. PDG reviewed the manuscript and was the hand surgeon involved in the patient’s care. TN, MJ, CO and TJ reviewed the manuscript and provided us with the bright field histology and Raman spectroscopy information. NdV and SWT reviewed the manuscript and were the supervising consultant rheumatologists in charge of the patient’s care. All authors approved the submitted version. The patient gave written informed consent for the publication of this report and the use of the accompanying images.

  • Funding TN is funded by a PPP Allowance made available by Health-Holland, Top Sector Life Sciences & Health, to Stichting ReumaNederland to stimulate public–private partnerships.

  • Competing interests CO discloses a potential conflict of interest as a managing director, cofounder and shareholder of Hybriscan Technologies B.V., Nijkerk, the Netherlands. The other authors declare no competing interests.

  • Provenance and peer review Not commissioned; externally peer reviewed.