Subacute polyarticular arthralgias · swelling of the ankles and right knee · recent travel to the Dominican Republic · Dx?

Publisher: Frontline Medical Communications Country of Publication: United States NLM ID: 7502590 Publication Model: Print Cited Medium: Internet ISSN: 1533-7294 (Electronic) Linking ISSN: 00943509 NLM ISO Abbreviation: J Fam Pract Subsets: MEDLINE

Publication: Parsippany, NJ : Frontline Medical Communications
Original Publication: New York, Appleton-Century-Crofts.

Travel*; Arthralgia/*diagnosis ; Arthralgia/*etiology ; Chikungunya Fever/*diagnosis ; Chikungunya virus/*isolation & purification; Aged ; Ankle Joint/physiopathology ; Antibodies, Anti-Idiotypic/blood ; Arthralgia/drug therapy ; Blood Chemical Analysis ; Chikungunya Fever/complications ; Dominican Republic ; Female ; Humans ; Knee Joint/physiopathology ; Physical Examination/methods ; Risk Assessment ; United States

A 78-year-old woman with a history of anxiety and hypertension presented to our family medicine residency practice in Massachusetts with subacute polyarticular arthralgias that had been present for 2 months. She complained of pain and swelling of both ankles and the right knee. She noted that her symptoms had started on a recent trip to the Dominican Republic, where she developed generalized joint pain and a fever that lasted 1 to 2 weeks and subsequently resolved with the lingering polyarthralgias. She denied any rash, constitutional symptoms, photosensitivity, headaches, photophobia, or history of tick bite. Physical examination revealed normal vital signs, notable warmth and swelling of the bilateral ankles that was worse on the right side, and swelling of the right knee with effusion-but no tenderness-to palpation.

0 (Antibodies, Anti-Idiotypic)

Date Created: 20190501 Date Completed: 20191218 Latest Revision: 20191218

20240105

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