Pregnancy and Rheumatic Diseases
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
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
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
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
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
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
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
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…
Rheumatoid Arthritis, Including Sjögren’s Syndrome
Rheumatoid Arthritis, Including Sjögren’s Syndrome Zachary M. Pruhs James R. O’Dell Ted R. Mikuls A 45-year-old woman presents with 4 months of worsening pain and stiffness in her finger joints,…
The Seronegative Spondyloarthropathies
The Seronegative Spondyloarthropathies Dennis W. Boulware A 22-year-old man presents with a 3-month history of low back stiffness when he first arises in the morning. He finds that changing his…
