A woman complains of severe joint pain and bouts of fever with discoloration of the skin. Your doctor makes the diagnosis based on unusual blood and inflammation values.
dr Anika Anker
My resident had called me to see the woman in her mid-fifties. As soon as I walked in, I saw the woman’s swollen wrists and ankles. She sat on the bed and had her arms crossed loosely in front of her stomach to relieve it. She was obviously in severe pain. Normally she is a doer, she said. Now she needs help with everything: getting dressed or opening a bottle.