Postgrad Med J 77:207-208 doi:10.1136/pmj.77.905.207
  • Self assessment questions

Fever, rash, swollen joints, and sore throat in a young man

  1. C S Arun,
  2. M A M Abbas,
  3. E B Henderson,
  4. A N Gorsuch
  1. Conquest Hospital, St Leonard's on-Sea, East Sussex, UK
  1. Dr C S Arun, Royal Liverpool University Hospital, Prescot Street, Liverpool L7 8XP, UK csarun{at}
  • Received 28 June 1999
  • Accepted 16 November 1999

Answers on p 211.

An 18 year old man developed a sore throat followed within two days by pain and swelling of both wrists, knees, and ankles, the metacarpophalangeal joints of both hands, and the metatarsophalangeal joints of both feet. This was associated with erythematous rash over his hands, arms, chest, and thighs down to both knees …

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