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Clinical Problem-SolvingFree Preview

A Patient with Migrating Polyarthralgias

List of authors.
  • Jonathan D. Casey, M.D.,
  • Daniel H. Solomon, M.D., M.P.H.,
  • Thomas A. Gaziano, M.D.,
  • Amy Leigh Miller, M.D., Ph.D.,
  • and Joseph Loscalzo, M.D., Ph.D.

A 28-year-old woman with an unremarkable medical history presented for evaluation of fatigue and joint pain. She initially noted pain and swelling in her right foot and ankle; these symptoms then improved, but pain in both knees and hips and in her right elbow developed.

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Funding and Disclosures

Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.

No potential conflict of interest relevant to this article was reported.

Author Affiliations

From the Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston.

Address reprint requests to Dr. Miller at Brigham and Women's Hospital, 75 Francis St., Boston, MA 02120, or at .

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