A 50-year-old man with a 10-year history of rheumatoid arthritis (RA) presents to the clinic with worsening shortness of breath and a persistent dry cough over the past few months. He works as a coal miner and has a history of significant occupational exposure to coal dust. A chest X-ray reveals multiple well-defined nodules in … Read more
A 48-year-old man presents with sudden-onset severe pain, swelling, and redness in his right big toe. The pain started overnight and intensified by morning, making it difficult for him to walk. He has a history of hypertension managed with hydrochlorothiazide. On examination, the toe joint is warm, erythematous, and tender to touch. Laboratory investigations reveal … Read more
A 32-year-old woman presents to the clinic with a history of three consecutive miscarriages, all occurring in the first trimester. She reports no significant symptoms between pregnancies, though she occasionally experiences mild joint pain. On further questioning, she denies fever, photosensitivity, or Raynaud’s phenomenon. Laboratory investigations show a positive lupus anticoagulant, elevated anticardiolipin antibodies, and … Read more
A 48-year-old woman with a 10-year history of rheumatoid arthritis (RA) presents to the clinic with increasing fatigue and pallor. Her joint symptoms are being managed with methotrexate, but she reports difficulty performing daily activities due to weakness. On examination, her vital signs are stable, but conjunctival pallor is evident. Laboratory investigations reveal a hemoglobin … Read more