59-Year-Old Woman With Progressive Dyspnea on Exertion.

Reports on a 59-year-old woman with long-standing seropositive rheumatoid arthritis presented to the Mayo Clinic in Rochester, Minnesota, with symptoms of dyspnea on exertion that had worsened gradually. Manifestations of the condition; Evidence of chronic symmetrical synovial inflammation in the metacarpophalangeal found in the patient's extremities.