Show Summary Details
Page of

Case 4 

Case 4
Chapter:
Case 4
Author(s):

Joel David

, Anne Miller

, Anushka Soni

, and Lyn Williamson

DOI:
10.1093/med/9780199587506.003.0004
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 23 October 2019

A 32-year-old Caucasian primary school teacher was seen in the rheumatology clinic. Eight weeks previously she had developed generalized malaise and a sore throat. These symptoms resolved within a week, but 3 weeks later she developed a rash over the dorsum of her feet and shins. The rash comprised multiple red tender lumps. She also developed pain and swelling of both ankles, alongside mild aching of the limb girdle. The joint symptoms improved slightly with naproxen, prescribed by her general practitioner. She had no significant travel history.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.