History and physical examination
A 28-year-old female patient, 2 years back diagnosed with polymyositis
and interstitial lung disease after she was historically presented with
diffuse bilateral joint pain, extremities weakness which she described
as difficulty with combing her hair, walking upstairs, and difficulty
swallowing. The symptoms stayed for nearly one year before she sought
medical attention. On physical examination which was done 2 years back
during her first visit; There was mild tenderness over bilateral hand,
wrist, elbow, ankle, and foot joints, with a passive limited range of
motion.