Extraarticular mass at the hand (+ specific arthropathy)

Dear colleagues,

46 y/o male pat. with slowly growing calcification at base of L middle finger volarly.

painful and affects hand function

In addition to the mass, there are signs of arthropathy MCP II-IV (+/- intercarpal) which seems to represent an unusual specific type.

Could this be hemochromatosis? Are the 2 findings related? What is your DDx?

https://www.cmrad.com/cases/1153089622

Best,

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