A 57 year old woman complained of pain and swelling of multiple joints. She tired easily, her joints were stiff in the morning, and she could move them better after activity. In addition, she had nodules on her palmar flexor tendons, bilateral carpal tunnel syndrome, and changes in the bones of her hands that looked like those of early rheumatoid arthritis.
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Arkin et al. (1968) studied this question.
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