cases, joint Week 41: Case 4 April 26, 2023 pathadmin 1. Presented by Edward McCarthy, M.D. and prepared by Angelique W. Levi, M.D.A 40 year old woman had painful intermittently swollen joints for ten years. Radiographs of her hands showed osteoporosis and multiple lytic lesions adjacent to the joints. A biopsy was performed.Rheumatoid arthritisOsteoarthritisGout 1. Presented by Edward McCarthy, M.D. and prepared by Angelique W. Levi, M.D.A 40 year old woman had painful intermittently swollen joints for ten years. Radiographs of her hands showed osteoporosis and multiple lytic lesions adjacent to the joints. A biopsy was performed.