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CMAJ • June 27, 2000; 162 (13)
© 2000 Canadian Medical Association or its licensors

Review
Synthèse

Clinical Basics

Rheumatology: 5. Diagnosis and management of inflammatory polyarthritis

Alice Klinkhoff

Dr. Klinkhoff is Assistant Clinical Professor, University of British Columbia, Medical Director at the Mary Pack Arthritis Centre and is with the Arthritis Research Centre of Canada, Vancouver, BC.

Series editor: Dr. John M. Esdaile

Abstract

The case: Three months after an uncomplicated pregnancy and delivery Mrs. D consults her physician about new pain and swelling in her wrists and several proximal interphalangeal joints; 1 wrist is swollen and tender and there is tenderness in the ring metacarpalphalangeal (MCP) and 2 proximal interphalangeal (PIP) joints of each hand. She has morning stiffness which lasts 30 minutes There has been no recent infection or triggering event, and she has no history of a similar problem. Mrs. D has been trying to ignore these symptoms for the last 6 weeks, but she is having difficulty lifting and changing her baby.




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