Arthritis mutilans: A rare phenomenon

Abstract

A 67-year-old woman presented to the Department of Surgery, Charlotte Maxeke Johannesburg Academic Hospital, South Africa, with an incarcerated umbilical hernia and a history of hypertension and psoriasis. Gastroscopy revealed a prepyloric ulcer. She had generalised plaque psoriasis and arthritis of the small joints of the hands, wrist and feet.