It seems President Donald Trump and Russian President Vladimir Putin have more in common than previously realized.

Both leaders have caused widespread speculation about their overall physical health and now a video of Putin with a swollen right hand is amping up the conversation again.

At an event on a basketball court recently with a health expert, Putin is seen furiously clenching his right hand, before reaching out to shake the expert’s hand. That’s when eagle-eyed reporters noticed something really odd.

The 73-year-old Putin’s hand is covered in swollen, bulging veins with tendons popping out on what appears to be “thin, wrinkled skin,” as several news outlets reported.

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