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[A woman in her thirties with pain in her fingers and toes].

OPEN Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række | 20 Nov 2012

OA Power, JG Brun and B Blomberg
Abstract
Hand pain is a relatively common complaint, and careful anamnesis and clinical examination may reveal its aetiology. Multiple joint involvement suggests either osteoarthritis or inflammatory arthritis. In the returning traveller, a more exotic explanation might be the case. A 31 year old woman was referred to our outpatient clinic for evaluation due to peripheral joint arthralgia. The symptoms started six months earlier, on the same day she returned from a three-week holiday in India. There were no signs of inflammatory arthritis or osteoarthritis. Blood tests were normal. Chikungunya virus serology was positive. The patient received symptomatic treatment with nonsteroid anti-inflammatory drugs and improved over a period of months. We describe the first case of Chikungunya fever diagnosed in our hospital.
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Concepts
Greek loanwords, Inflammation, Hospital, Chikungunya, Arthralgia, Osteoarthritis, Non-steroidal anti-inflammatory drug, Rheumatoid arthritis
MeSH headings
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