A 35 year old woman complains of joint pain and stiffness. S…
A 35 year old woman complains of joint pain and stiffness. She has synovial thickening in her metacarpal phalanges, proximal interphalangeals, wrists and ankles bilaterally. Sed rate is 102, CRP is 7.5, ANA +1:160, rheumatoid factor is 168 (normal is 0-20) and anti CCP of 32 (normal 0-20). You are most suspicious that this patient has:
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