The case study series is back and explores an important challenge encountered in clinical practice: what should we do when a patient’s existing rheumatology diagnosis no longer fully explains their symptoms?
The case follows a patient with an 18-month history of inflammatory arthritis who had responded well to biologic therapy but continued to experience persistent insertional heel pain and fatigue. Rather than focusing on treatment techniques, this discussion examines the clinical reasoning behind recognising when new symptoms may indicate an incomplete diagnosis rather than a simple flare or mechanical musculoskeletal problem.
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