Thursday, May 15, 2014
It Really is a Disease!
The rash shown above started developing about three or four days into the illness. Other symptoms include headache, myalgias, and nausea. Physical exam demonstrates periarticular edema and cervical lymphadenopathy. Laboratory tests show lymphopenia and thrombocytopenia.
You aren't sure what this is so you advise symptomatic treatment and schedule follow-up in 2 weeks.
On his next visit, the patient complains of ongoing arthralgias, edematous polyarthritis of the fingers and toes, morning pain and stiffness, and tenosynovitis of the wrists, hand, and ankles. His exam is positive for carpal tunnel syndrome. He has joint and bony pain at sites of prior trauma.
Challenge: This case could also be called "that which bends up" or "stooped walk." What's the diagnosis?
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