Sudden right hand swelling with small nodules on index finger pulley tendon. Treated with anti-biotics for infection after X-rays, ultra sound and MRI; radiologist suspected cellulitis. Treatment reduced swelling at base of index finger but within a day, finger 4 & 5 became swollen. Treated again with stronger anti-biotic suspecting MERSA. Treatment did not reduce swelling. Now, after about 3 months, the thumb is involved and swollen at the tip above the knuckle. Have seen the following MD's: PCP, hand surgeon, rheumatologist. Blood test are negative for uric acid, arthritis. Currently awaiting blood tests for thyroid; possible pseudogout. Any ideas?