We have located links that may give you full text access.
STILL FEBRILE - A RARE CAUSE OF JOINT PAIN.
A 35-year-old woman presented to our emergency department complaining of arthralgia, rash, fevers, and muscle weakness for the past year. These symptoms initially began as unilateral upper lip swelling, which then progressed to a facial rash and orbital swelling over two weeks with associated fevers, which eventually subsided. The patient then began having fluctuating arthralgia and muscle weakness with associated rash and subjective fevers. She had rheumatologic evaluation several months prior to our encounter at another facility, which failed to reveal an explanation for her symptoms. During this workup, antinuclear antibodies (ANA), rheumatoid factor (RF), and complement levels were normal with elevated erythrocyte sedimentary rate (ESR) and C-reactive protein (CRP). On arrival to our hospital, she complained of symmetric polyarthritis involving the ankles, knees, shoulders, and hands, and proximal upper and lower extremity weakness with difficulty rising from a seated position. On examination she was noted to have an evanescent rash on bilateral extremities and her abdomen. Cardiac exam revealed no murmurs. Laboratory testing was significant for anemia, hyperferritinemia, leukocytosis, with negative RF and ANA. Transaminitis was not present. The patient's fevers resolved and her symptoms improved during hospitalization. She was started on prednisone 60mg daily and discharged with follow up in the rheumatology clinic to initiate therapy with the IL-1 antagonist anakinra.
Full text links
Related Resources
Trending Papers
Challenges in Septic Shock: From New Hemodynamics to Blood Purification Therapies.Journal of Personalized Medicine 2024 Februrary 4
Molecular Targets of Novel Therapeutics for Diabetic Kidney Disease: A New Era of Nephroprotection.International Journal of Molecular Sciences 2024 April 4
Perioperative echocardiographic strain analysis: what anesthesiologists should know.Canadian Journal of Anaesthesia 2024 April 11
The 'Ten Commandments' for the 2023 European Society of Cardiology guidelines for the management of endocarditis.European Heart Journal 2024 April 18
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app