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REACHING A DIAGNOSIS
FIBROMYOS1TIS POLYMYALGIA RHEUMATICA AND LOCAL DISORDERS
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acute affected ankle ankylosing spondylitis anti-inflammatory arthralgias associated atrophy back pain bone formation bursitis chronic classical changes clinically silent corticosteroid cutaneous dactylitis degenerative joint disease demonstrates destruction developed disorder distal interphalangeal joint drug effusion elbow erythematous evaluated examination extra-articular fever fibromyositis findings flexion fluid foot frequently gonococcal gout history of seropositive index finger inflammation inflammatory arthropathies injection involvement joint space juxta-articular knee lateral lesions loss medial metacarpophalangeal joints muscle nail changes nailfold normal Note occur onset pain and swelling patient physician plantar plaque polymyalgia rheumatica progressive systemic sclerosis proximal interphalangeal joints pseudogout psoriasis psoriatic arthropathy radiographic rash Raynaud's Reiter's syndrome reveals the classical rheumatic rheumatoid arthritis rheumatoid disease rheumatoid nodule rheumatologic right hand roentgenogram sacroiliitis scleroderma seen seronegative shoulder shown in Figure skin lesions spine spondylarthropathies stiffness swollen symptoms synovial tender tendon therapy thumb typical ulcer urethritis usually uveitis vasculitis widespread woman presented wrist