Woman With Severe Diffuse Joint Pains

摘要

A 55-year-old African American womari reported several months of back pain, bilateral joint stiffness, and pain in her fingers and wrists. Swelling in the ankles and shins had also developed. She was treated with high doses of oral opioids to control her joint pain. She denied any previous medical problems and reported a heavy smoking history (more than 100 pack years); she had quit 4 years earlier.