We report a patient with myeloma-associated systemic AL amyloidosis who showed chronic polyarthralgia as the main symptom. The clinical picture was similar to that of rheumatoid arthritis with regard to symmetrical swelling with tenderness in multiple joints, but inflammatory reactions were almost normal and autoantibodies were negative. He was diagnosed as having systemic AL amyloidosis based ...

Lofgren's syndrome is an acute form of sarcoidosis characterized by erythema nodosum, bilateral hilar lymphadenopathy (BHL), and polyarthralgia or polyarthritis. This syndrome is common among Caucasians but rare in the Korean population. A 44-year-old woman was admitted to our hospital complaining of polyarthralgia. A chest radiograph revealed BHL and nodular shadows. Angiotensin-converting enz...

Osteopoikilosis or spotted bone disease is a rare dysplasia of unknown etiology. It characterized by an abnormality in maturation process and often found incidentally on radiologic examination. This disease, which has autosomal dominant inheritance, numerous, annular oval, sclerotic lesions with regular borders. Although it frequently asymptomatic, rarely polyarthralgia joint swelling may occur...

THE CASE A 44-year-old female. Developed polyarthralgia in August 2002. The patient was diagnosed with systemic lupus erythematosus (SLE) in November, due to polyarthralgia, leukopenia, anti ds-DNA antibody positive, antinuclear antibody positive, and false positive serologic test for syphilis. Hypocomplementemia continued even after the steroid treatment was conducted with insufficient control...

Previously published Photo Quizzes are now featured in a mobile app. Get more information at http:/www. aafp.org/afp/apps. A 52-year-old Hispanic man presented with two weeks of severe pain and swelling in his knees and wrists that affected his ability to walk. He had a rash on his thighs, knees, hands, and lower back. He did not have fever, dysuria, or eye pain. He had no significant medical h...