Does anyone have a idea of what this could be??
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Answers:
I agree with Gatemedic. If she has several joints that are both painful and swollen, it is certainly possible that she has a rheumatic or connective tissue disorder. With these symptoms and signs, I would say she has 'earned' a consultation with a rheumatologist or internist with an interest in rheumatic disorders..
Other Answers:
congestive heart failure maybe.
Your friend needs to see a rhuematologist or a another specialist. She could have an auto immune disorder such as Lupus.
Your friend needs to see a rheumatologist to rule out an autioimmune disorder. (this can include many other diseases other than rheumatoid arthritis). She should also be checked for hepatitis... it can oftentimes mimic rheumatoid arthritis.
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