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B/L ankle swelling
B/L ankle swelling 1 month. It is slightly pitting, warm to touch, tender and pain while walking. Left elbow and wrist stiffness. Knee pain (on and off). Serum urea creatinine and LFT normal. ESR elevated(72mm/hr). Her own sister is RF+.
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High chances are that she will be having Rheumatoid arthritis and needs to be confirmed by a blood test after clinical examination
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