Gout and Crystal-Induced Arthropathies Angelo Gaffo A 65-year-old patient with poorly controlled diabetes, hypertension, heart failure, and a prior diagnosis of gout is hospitalized because of an exacerbation of heart…
Osteoarthritis Mary S. Walton Carlos J. Lozada Seth M. Berney A 60-year-old male former professional football player with a history of multiple knee injuries complains of bilateral knee pain for…
Pregnancy and Rheumatic Diseases Michael Lockshin A 39-year-old woman with long-standing rheumatoid arthritis, which she believes is now quiescent, consults you because she is planning a pregnancy. She has not…
Fibromyalgia Graciela S. Alarcón A 40-year-old obese, sedentary, Caucasian woman presents to a rheumatologist with a 6-month history of generalized myalgias, arthralgias, swelling of small hand joints, and morning stiffness…
Overlap Syndromes and Unclassified or Undifferentiated Connective Tissue Disease Iris Navarro-Millán Graciela S. Alarcón A 48-year-old Hispanic woman with symmetric polyarthritis, anemia, myalgias, and proximal muscle weakness. Over time she…
Giant Cell Arteritis and Polymyalgia Rheumatica Angelo Gaffo A 76-year-old white woman presents to her primary care physician with a 3-month history of progressive fatigue, malaise, poor appetite, and a…
Vasculitis Bao Quynh N. Huynh S. Louis Bridges Jr A 39-year-old female with an antinuclear antibody titer of 1:320, speckled pattern is referred to a rheumatologist for painful erythematous lesions…
Inflammatory Myopathies: Polymyositis, Dermatomyositis, and Related Conditions Irene Z. Whitt Frederick W. Miller A previously healthy 54-year-old librarian comes to the clinic complaining of “tired and sore arms and legs”…
Raynaud’s Phenomenon and Systemic Sclerosis Laura B. Hughes Barri Fessler A 42-year-old man presents complaining of swollen hands. His fingers turn blue and white, and are associated with pain when…
Systemic Lupus Erythematosus Michelle A. Petri A 23-year-old Caucasian woman presents to her primary care doctor with complaints of 9 months of fatigue, pain in muscles including the neck and…
