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Primary biliary cirrhosis (PBC) is an uncommon disease of as yet unknown origin, which affects mainly women, and has been found in association with autoimmune diseases, such as scleroderma, systemic lupus erythematosus, and others. Radiographs of the hands have been recommended by O'Connell DJ et al. (1978) as the most reliable in the demonstration of the bony changes in PBC. The radiographic features...