A 32 year old woman has a febrile illness and swelling of the small joints of her hands for 2 days. She is seen in the GP surgery. She has not travelled outside the UK. She has two young children.
She has a maculopapular rash and palpable, small cervical lymph nodes. The small joints of her feet, wrists and knees are swollen.
Which is the most likely diagnosis?
- Reactive arthritis
- Rheumatoid arthritis
- Systemic lupus erythematosus