RT Book, Section
A1 Usatine, Richard P.
A1 Smith, Mindy A.
A1 Chumley, Heidi S.
A1 Mayeaux, E.J.
SR Print(0)
ID 57676211
T1 Chapter 97. Rheumatoid Arthritis
T2 The Color Atlas of Family Medicine, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176964-8
LK accessmedicine.mhmedical.com/content.aspx?aid=57676211
RD 2024/04/19
AB A  79-year-old  woman  with  late-stage  rheumatoid  arthritis  comes  for  routine  follow-up  (Figures  97-1,  97-2,  97-3,  and  97-4).  She  began  having  hand  pain  and  stiffness  approximately  40  years  ago.  She  took  nonprescription  medications  for  pain  for  approximately  10  years  before  seeing  a  physician.  She  was  diagnosed  with  rheumatoid  arthritis  on  the  basis  of  combination  of  clinical,  laboratory,  and  radiograph  findings.  She  was  treated  with  prednisone  and  tried  most  of  the  disease-modifying  agents  as  they  became  available;  however,  her  disease  progression  continued.  Approximately  10  years  ago,  she  began  having  increased  foot  pain  and  difficulty  walking.  Today,  she  works  with  a  multidisciplinary  team  to  control  pain  and  preserve  hand  function  and  independence.