A case of arthritis, pulmonary nodules, and hilar adenopathy
After a trip to El Salvador, a woman experienced fever, malaise, and other symptoms. She had a history of a positive antinuclear antibodies test result, Raynaud phenomenon, and erythematous rash. The patient was hospitalized for pneumonia, and her symptoms persisted when she received antibiotics. Later her right ankle became red, swollen, and tender. Examination of the patient's extremities showed osteoarthritis changes.