A previously healthy 29-year-old pediatric nurse has a 3-day history of malaise, arthralgias, and a nonpruritic rash. The rash is a faint, maculopapular, irregular, reticulate exanthem that covers her thighs and the inner aspects of her upper arms. Symmetric synovitis is present in several distal and proximal interphalangeal joints and in her metacarpophalangeal joints. Small effusions, warmth, and tenderness are noted in her left wrist and right elbow. No other joints are affected. The most likely cause of this problem is A) varicella-zoster virus B) measles (rubeola) virus C) parvovirus B19 D) adenovirus E) human immunodeficiency virus (HIV)
Posted on: Sun, 07 Dec 2014 06:45:53 +0000
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