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Previous Volume 358:2496-2501 June 5, 2008 Number 23 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information, sharing his or her reasoning with the reader (regular type). The authors' commentary follows.

A 59-year-old woman presented with new-onset oligoarthritis and extreme fatigue. The patient had been in her usual state of health until 6 weeks earlier, when she noted a gradual onset of pain and swelling in her right knee, which necessitated the use of a cane. Two weeks before presenting for care, she began to experience pain in her left knee, followed by . . . [Full Text of this Article]

Commentary

Source Information

From Harvard Medical School (A.B.S., C.B.A., D.J.D., S.M.H.); the Department of Medicine, Massachusetts General Hospital (A.B.S.); the Department of Medical Oncology, Dana–Farber Cancer Institute (A.B.S., D.J.D.); and the Department of Medicine, Brigham and Women's Hospital (C.B.A., S.M.H.) — all in Boston.

Address reprint requests to Dr. Schwarzberg at the Department of Medicine, Massachusetts General Hospital, 10 North Grove St., POB 221, Boston, MA 02114, or at aschwarzberg@partners.org.

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