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Previous Volume 356:68-74 January 4, 2007 Number 1 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 45-year-old woman from northern Ontario presented to her local hospital with a 2-year history of asymmetric migratory arthralgias involving the left knee, ankles, elbows, and fingers. She also had morning stiffness, increasing fatigue, an erythematous, nonpruritic rash after sun exposure, and a 3-month history of chest pain that was relieved when she was in an upright position. She did not have fevers, dry eyes or mouth, oral ulcers, or eye irritation or pain.

This patient presents with a 2-year history of migratory polyarthralgias and, more recently, positional chest pain suggestive of pericarditis. The broad differential diagnosis includes rheumatoid arthritis . . . [Full Text of this Article]

Commentary

Source Information

From the Departments of Medicine (J.J., H.V., A.S.D., O.M.) and Health Policy Management and Evaluation (A.S.D.), University of Toronto; the Department of Medicine, St. Michael's Hospital (J.J., O.M.); the Department of Medicine, Mt. Sinai Hospital (H.V., A.S.D.); and the Department of Medicine, University Health Network (H.V., A.S.D.) — all in Toronto.

Address reprint requests to Dr. Mourad at St. Michael's Hospital, 30 Bond St., Toronto, ON M5B 1W8, Canada, or at mourado@smh.toronto.on.ca.

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