What condition could potentially lead to the development of Heberden's nodes?

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Heberden's nodes are bony growths that develop on the distal interphalangeal (DIP) joints of the fingers, and they are most commonly associated with osteoarthritis. This condition involves the degeneration of cartilage and the formation of bone spurs, which can manifest as these nodes. Osteoarthritis typically occurs due to wear and tear on the joints over time, making them more susceptible to changes that lead to Heberden's nodes.

While rheumatoid arthritis, gout, and psoriatic arthritis are also conditions that affect the joints, they do not typically result in the same presentation as Heberden's nodes. Rheumatoid arthritis primarily affects the proximal joints and is characterized by systemic inflammatory changes rather than the localized bony changes seen in osteoarthritis. Gout is caused by the deposition of uric acid crystals and can involve the big toe and other joints but does not usually cause Heberden's nodes. Psoriatic arthritis, while it can lead to various joint deformities, also does not prominently feature Heberden's nodes like osteoarthritis does. Therefore, the association of Heberden's nodes is specifically linked to the changes seen in osteoarthritis.

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