TY - JOUR T1 - Rheumatology: 5. Diagnosis and management of inflammatory polyarthritis JF - Canadian Medical Association Journal JO - CMAJ SP - 1833 LP - 1838 VL - 162 IS - 13 AU - Alice Klinkhoff Y1 - 2000/06/27 UR - http://www.cmaj.ca/content/162/13/1833.abstract N2 - 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. ER -