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A 56-year-old woman complains of pain in the small joints of her hands and feet....
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A 56-year-old woman complains of pain in the small joints of her hands and feet. She has been
experiencing these symptoms for the last 12 years. Examination of her hands detects a subluxation
of the metacarpophalangeal joints with her fingers bent outwards ("walrus flippers"). There are high
molecular weight immune complexes in the patient’s blood. What diagnosis can be made in this case?
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