{"ops":[{"insert":"A 30 year old woman presents with episodic joint pain and stiffness of both hands for 1 year, which affects her activities of daily living.\n\nThere is no morning stiffness and she is well in-between episodes. She also complains of developing oral ulcers recently.\n\nHer medical, drug and obstetric histories are unremarkable. Plain radiographs of both hands and feet are found to be normal.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-173_en.png"}},{"insert":"\n"}]}