Jaccoud's arthropathy (JA) is a condition characterized clinically by reversible joint deformities such as ulnar deviation, swan neck, thumb subluxation and hallux valgus, along with an absence of articular erosions on a plain radiograph. This report aims to highlight the clinical presentation and medical management of JA as well as to draw attention to the disease among clinicians. We are presenting a 57-year-old male, present with a history of episodes of pain and swelling in the metacarpophalangeal, proximal and distal interphalangeal joints for 20 years associated with joint stiffness for less than half an hour during the last 15 years. Clinical examination of the hand revealed joints swelling, ulnar deviation at wrist joints and fingers, Z shape deformity of thumbs, swan neck deformity of little fingers and visible wasting of thinner muscles, although there is no tenderness or skin change and all hand deformities were correctable.