Question 177 · LEK · Rheumatoid arthritis
A 46-year-old woman comes to the office because of painful joints in her both hands and wrists. She complains of the morning stiffness of these joints which lasts longer than one hour. What is the most probable diagnosis that has to be excluded first?
- A. fibromyalgia.
- B. systemic lupus erythematosus.
- C. rheumatoid arthritis.
- D. osteoarthritis.
- E. gout.
Hint
Note the pattern: small joints of both hands plus wrists, with morning stiffness lasting more than an hour.
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