preferred_name: Cupping of distal metacarpals and proximal end of proximal phalanges
preferred_name_lc: cupping of distal metacarpals and proximal end of proximal phalanges
label: Cupping of distal metacarpals and proximal end of proximal phalanges
label_lc: cupping of distal metacarpals and proximal end of proximal phalanges