A 46-year-old woman presented with red skin eruptions and inflammatory polyarthralgia. The patient had no other medical history except a history of by-pass surgery, which she underwent for obesity eight years ago. The symptoms of inflammatory arthralgia and swelling of the digital joints accompanied by epigastric pain were suddenly experienced by the patient. She rushed to the emergency department immediately Initial care Upon arrival at the emergency department, she was a given 20 mg/d prednisone that led to substantial clinical improvement.
She continued receiving prednisone for a week after which it was stopped. After the dose was stopped, the patient developed a new flare of symptoms in the next 72 hours. At this point of time, her arthralgia reached the knees and wrists. Ultrasonography analysis Results showed edema with positive Doppler signal that confirmed arthritis in…
