A 32-year-old woman presents with joint stiffness and pain o…
A 32-year-old woman presents with joint stiffness and pain of the hands and wrists for the last two years. Her symptoms are most severe in the morning and improve in the afternoon. She reports an unintentional loss of 15 pounds over the course of 3 months as well as fatigue. On physical exam, there is swelling and tenderness at the metacarpophalangeal and proximal interphalangeal joints. What is the most probable cause of her condtion?