A 24-year-old white male was presented to the hospital with complaints of 2 weeks of progressively worsening pain and inflammation of his right wrist and left ankle joints. He had no medical history and did not report any fevers, chills, night sweats, weight loss or rash. He also denied smoking cigarettes, alcoholism or any recreational drugs. He has a family history of hypertension in father and ovarian cancer in the mother. The physical examination has reported significant swelling of multiple joints, including right wrist, right elbow and left ankle. The joints were tender and erythematous. He had a limited range of mobility due to severe pain in joints.
What will most likely explain the pathogenesis of polyarthralgia in this case?
- Rheumatological conditions such as Rheumatoid arthritis, Lupus, Lyme, Septic arthritis, Gonorrheal joint arthritis, or Gout
- Hyperlipasemia, a rare paraneoplastic manifestation of pancreatic acinar cell carcinoma.