Rheumatoid Arthritis

37, Female

Dec 2022 - developed covid

Jan 2023 - widespread joint pains

Reported significant joint stiffness throughout the day.

Bloods

Feb 2023

CRP: 17 (0 - 5). Also raised WBC: 12.4 x 10^9/L (3.7 - 11). Neutrophils: 9.3 x 10^9/L (1.7 - 7.5)

Repeated 2 weeks later CRP: 5.7, ESR: 2 (3 - 12). WBC: 11.4, Neutrophil: 7.7

March 2023 (early)

Ig Screen: normal

Rheumatoid Factor: 56 (0 - 40)

ANA: Positive, Titre 80, specked

DSDNA: normal <9.8

ENA: negative

March 2023 (Mid)

Anti-MCV (CCP): 296 (0-15)

Referred to Rheumatology

Rheum notes

C/o: pain (R) wrist, (R) thumb, (R) knee

O/e:

  • Tender (L) elbow with reduced flexion and extension
  • Tenderness and puffiness (R) DRUJ
  • Synovitis (R) Thumb IP joint
  • Tender both knees
  • chest clear
  • US - synovial proliferation (L) elbow and (R) DRUJ

Diagnosis: New onset Rheumatoid Arthritis

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