Postchikungunya Chronic Inflammatory Rheumatism.

Published in: Case reports in rheumatology (2016)

A 65-year-old male resident of Guatemala presented with a 5-month history of distal symmetric arthritis and generalized fatigue. This was associated with night sweats, chills, and weight loss. Symptoms were refractory to oral prednisone and hydroxychloroquine.

Keyphrases

sleep quality
weight loss
bariatric surgery
rheumatoid arthritis
roux en y gastric bypass
depressive symptoms
patient safety
gastric bypass
minimally invasive
quality improvement
physical activity
glycemic control
drug induced
weight gain
body mass index
adipose tissue
skeletal muscle