25th February 2025

A nursery school teacher presents with sudden-onset severe joint swelling and pain, along with general fatigue and malaise.

A nursery school teacher presents with sudden-onset severe joint swelling and pain, along with general fatigue and malaise. She reports that a few weeks previously, she had mild flu-like symptoms, and a number of children were off with sickness. One child had the following rash:

Which joint(s) are likely to have been affected?

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