RT Journal Article SR Electronic T1 Rheumatology: 5. Diagnosis and management of inflammatory polyarthritis JF Canadian Medical Association Journal JO CMAJ FD Canadian Medical Association SP 1833 OP 1838 VO 162 IS 13 A1 Alice Klinkhoff YR 2000 UL http://www.cmaj.ca/content/162/13/1833.abstract AB 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.