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This week's New England Journal of Medicine challenge is good. What is the diagnosis for this lady's hand. Hint: it is common. (click on image for a better view)1. Psoriatic arthropathy2. Reflex sympathetic dystrophy3. Osteoarthritis4. Gout5. Rheumatoid arthritisThe answer will be posted tomorrow. If you don't know...you might learn something.Hey, It's a full moon tonight!!