A lady aged 52 years came with the complaints
of pain in wrist since 6 months.
She has intolerable pain in right wrist and she feels difficult to bend her fingers. She also has pain in both ankles and toes. Pain worse by touch and motion. She feels very weak and exhausted. She used to get headache often, vertigo better in open air. She feels shortness of breath on exposure to cold air. Swelling in both wrists on examination.
is your similimum?