Symptoms extreme Fatique pain in hands feet ankles other joi
Patient :Symptoms extreme Fatique pain in hands feet ankles other joints at times low grade fever with most activity
Labs: sed rate 20 crp 10.7 platelets 424 ace 59
All other labs in normal range
X-ray of feet shows general osteopenia, mild degeneration of midfoot and arthritis in first joint bilaterally.
What does this indicate?
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