Autoimmune arthritis

55-year-old woman presented to the clinic. She had had the odd aches and pains, with stiffness in the joints making it more difficult to get out of bed in the mornings, but she recovered quickly once she was moving around and had no problems during the day. This had been recurring over the last couple of years, nothing that concerned her greatly. Then after a severe attack of the flu, in bed for a few days off work, she woke up one morning in so much pain she could barely move. Her