A 42-year-old female presents to the clinic with chief complaint of increased fatigue and joint pain worsening over the last few weeks

A 42-year-old female presents to the clinic with chief complaint of increased fatigue and joint pain worsening over the last few weeks.  Her past medical history includes similar episodes with a prior ESR of 56 mm/hr and a negative ANA.  She reports that she has had some episodes of chills but hasn’t taken her temperature.  The patient reports that she takes ibuprofen for the pain which partially relieves her symptoms.  The pain is sometimes worse in the morning but also occurs throughout the day.  Her blood pressure is 124/78, heart rate 74, temperature 100 F. 

Develop a 1- to 2-page case study analysis in which you:

· Explain why you think the patient presented the symptoms described.

· Identify the genes that may be associated with the development of the disease.

· Explain the process of immunosuppression and the effect it has on body systems.

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