MS-2472

MS-2472

A 22-year-old female presents to the physician with a one-week history of joint pain. She reports that the pain is asymmetrical, migrating between distal and proximal interphalangeal joints of multiple fingers, her knees and toes. The pain is accompanied by stiffness and swelling of these joints. On further questioning, she reveals that she also has dysuria and purulent vaginal discharge for the past week, although she has not seen a doctor out of embarrassment. She is sexually active with multiple sexual partners and uses condoms inconsistently.

Clinical examination reveals pustular lesions on her palms and on the trunk. Her blood pressure is 100/65 mmHg, pulse 80 beats per minute, and temperature 38ºC.

What is the most likely diagnosis for this 22-year-old female with joint pain and other symptoms?