26th February 2025

A 65-year-old female is referred to rheumatology clinic with recurrent fevers and painful joints.

A 65-year-old female is referred to rheumatology clinic with recurrent fevers and painful joints. She has been experiencing daily fevers and pain in multiple joints, including her knees, wrists and ankles. She has not had any recent viral infections, although she did note a sore throat a few days before the rash started.

On examination you find a maculopapular rash on her chest and abdomen, which is a light pink colour.

Bloods are as follows:

Given the likely diagnosis, what is the most appropriate initial management?

Select the SINGLE most appropriate option from the list below. Select ONE option only.