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Case 4 

Case 4
Case 4

Joel David

, Anne Miller

, Anushka Soni

, and Lyn Williamson

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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.

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