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this autoimmune disorder causes inflammation thickening and deformation of the joints this includes something called a swan neck deformity where we have hyperextension of the proximal interphalangeal joints and flexion of the distal interphalangeal joints it also causes a boutonniere deformity which is kind of the opposite so this is where we have flexion of the proximal interphalangeal joints and hyperextension of the distal interphalangeal joints other symptoms include bilateral joint pain and swelling as well as fatigue and morning stiffness name this disorder and put your answers in the comments