Rheumatology in practice

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A patient’s perspective on dealing with arthritis
RDIP, Volume 7, Number 1.

In 2006, at the age of 56, Stan Andrzejewski developed acute-onset polyarticular symptoms with pain, swelling and stiffness affecting his hands, wrists, elbows, knees and ankles. Investigations showed a haemoglobin of 9.6 g/dl (13.0–18.0) that was normocytic and normochromic; platelets 738 x 10/l (150–400); plasma viscosity 1.96 CP (1.50–1.72); CRP 205 mg/l (<10); rheumatoid factor negative. A range of other investigations, including routine
biochemistry, autoantibody screen, thyroid function, immunoglobulins, electrophoresis, prostate-specific antigen and anti-neutrophil cytoplasmic antibodies were essentially unremarkable except for intermittent slight elevations of alkaline phosphatase and ALT.

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