A 33-year-old woman has a 1-month history of pain and stiffness in her hands, mostly upon arising in the morning that lasts 90 minutes. She otherwise has been well. She reports no tingling or numbness in the fingers; changes in the color of the digits; or rash, oral ulcers, or alopecia. She works as a computer software engineer. Examination of the hands reveals joint swelling and tenderness involving the metacarpophalangeal joints.
What is the most likely diagnosis?
To find out, let's simply copy and paste this info into ADH.
Doctor Mike Hansen
コメント