Case Study: 24-Year-Old Male Presenting With Polyarthralgias

A 24-year-old white male with no known medical history presented to the hospital with chief complaints of 2 weeks of progressively worsening pain and swelling of his right wrist and left ankle joints. He did not report any fevers, chills, night sweats, weight loss or rash. He was employed as a fireman. He denied alcohol use disorder, smoking cigarettes, or any recreational drugs. Family history was significant for hypertension in father and ovarian cancer in the mother. His vital signs were within normal limits on presentation. On physical examination, the patient had significant swelling of multiple joints including the right wrist, right elbow, and left ankle. The joints were erythematous and tender to touch. Due to severe pain, he had limited range in the involved joints.