Case #4
A 36 year old woman presents to clinic because of nail changes she has noticed for some time but recently it seems to have become more prominent.
Nail changes above can occur with the following except:
a) Low back pain that would get worse with sitting
b) Heel pain
c) Dry skin
d) Generalized stiffness
e) Recurrent diarrhea
f) Painful red eye
g) Difficulty standing
h) Itching and rash in the back of the knees
i) Joint swelling