Case 44

Joel David, Anne Miller, Anushka Soni and Lyn Williamson

in Oxford Case Histories in Rheumatology

Published on behalf of Oxford University Press

Published in print October 2011 | ISBN: 9780199587506
Published online November 2012 | e-ISBN: 9780191753442 | DOI:

Series: Oxford Case Histories

Case 44

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A 55-year-old woman presented with a 5-year history of pain and swelling in her hands and feet with bilateral numbness and tingling in the median nerve distribution. She had gained 10 kg in weight over the same period of time and developed type 2 diabetes. She attributed increasing fatigue to poor sleep quality because of backache and to snoring.

Chapter.  1286 words.  Illustrated.

Subjects: Rheumatology

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