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Previous Volume 330:343-346 February 3, 1994 Number 5 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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A 38-year-old man came to the outpatient clinic complaining of symmetrical swelling and pain in his hands. Two months earlier he had been in Moscow as a tourist. One month later he contracted a flu-like illness, followed by generalized malaise, fatigue, diffuse myalgia, arthralgia, and morning stiffness. These symptoms improved somewhat during treatment with oral diclofenac.

At this point it seems that the patient has arthritis, which could be related to a previous infection. Arthritis may accompany illnesses caused by a number of viruses, including rubella, parvoviruses, enteroviruses, and adenoviruses. Usually rheumatic symptoms first become apparent as a prodrome or . . . [Full Text of this Article]

Commentary

Source Information

From the Rheumatology Unit, Division of Medicine (E.B.-C.), and the Department of Clinical Microbiology and Infectious Diseases (G.R.), Hadassah University Hospital, Jerusalem, Israel.

Address reprint requests to Dr. Ben-Chetrit at the Rheumatology Unit, Division of Medicine, Hadassah University Hospital, P.O. Box 12,000, Jerusalem, Israel.

References

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• Kreisberg, R. A. (1994). Stopping Short of Certainty. NEJM 331: 42-45 [Full Text]