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MediumRheumatologyRheumatoid Arthritisukmlamrcgp aktpanemrcem sbamrcp part 1prescribing safety assessment

A 29-year-old woman presents with gradual onset bilateral wrist and hand pain and swelling over the past 3 months. She experiences morning stiffness lasting approximately 90 minutes. Examination reveals symmetrical swelling and tenderness of the metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints bilaterally, and reduced grip strength. What is the most likely diagnosis?

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