A 39-year-old woman repeatedly sees her physician for symptoms including paresthesias and “swelling” of the hands and feet. The results of physical examination and laboratory studies have been normal, yet this has failed to reassure her. She is now concerned that she has lupus and urgently requests a rheumatology consultation. How should you manage this problem?
No takes yet. Share an insight, caveat, or question.
Arthur J. Barsky (2001) studied this question.
Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context: