CHALLENGING CLINICAL CASE NO. 04/2001
| A 47- year old man has had fever, weight loss, arthralgias, pleuritic chest pain, and midabdominal pain for the last 2 months. One week ago he noticed difficulty dorsiflexing his right great toe. Blood pressure is 150/95 mmHg (he has always been normotensive), and laboratory studies reveal anemia of chronic disease, high erythrocyte sedimentation rate, and polymorphonuclear leukocytosis.s The most likely diagnosis is |
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