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Previous Volume 333:1208-1211 November 2, 1995 Number 18 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 55-year-old woman presented with polyarticular arthritis. She had had several attacks of symmetric arthritis during the previous few months, involving particularly the ankles, shoulders, and metacarpophalangeal and proximal interphalangeal joints. She also reported morning stiffness and fatigue, but no other systemic symptoms. No infection or febrile illness preceded the onset of her symptoms. Her medical history was otherwise unremarkable.

The patient's age, the onset of symptoms, and the clinical picture support a presumptive diagnosis of rheumatoid arthritis. The absence of fever and the chronic, relapsing course are inconsistent with most infectious arthritides. A reactive arthritis is also unlikely, since . . . [Full Text of this Article]

Commentary

Source Information

From the Division of Rheumatology, Department of Medicine, Albert Einstein College of Medicine, Bronx, N.Y. (C.P.), and the Rheumatology Unit, Division of Medicine, Hadassah University Hospital, Jerusalem, Israel (E.B.-C.).

Address reprint requests to Dr. Putterman at the Department of Microbiology and Immunology, Albert Einstein College of Medicine, 1300 Morris Park Ave., Bronx, NY 10461.

References

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Extract | Full Text  
N Engl J Med 1996; 334:538-540, Feb 22, 1996. Correspondence

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