Volume 14 - Issue 6 - June 2006

Once upon a time there was a rheumatologist who was treating a patient with psoriatic arthritis. This rheumatologist was well trained in internal medicine and rheumatology and was dedicated to providing patients the best possible medical care.  The patient came in for treatment of joint stiffness. It was worse in the mornings, and there was a personal and family history of psoriasis. A careful physical examination revealed no signs of any joint swelling, tenderness or inflammation. Range of motion was completely normal. X-rays had been taken and they showed no signs of joint