Case 14 Rheumatology

Migratory Arthritis

Work it one clue at a time. The diagnosis stays hidden until you reveal it.

Clue 1

A 26 y/o woman presents with migratory arthritis. Started with a red and hot foot/ankle. Then went to the knee. Overuse, she was told. When ice/rest did not help, she went to the hospital. An arthrocentesis procedure was performed.

Clue 2

20K white blood cells but no organisms. She was taken for a washout procedure for presumed septic arthritis. And when the knee didn’t improve, she was taken for another one. And when she still didn’t improve, she was transferred to our hospital

We consult our framework for arthritis.

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