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A 24-year-old female presents with low-grade fever, right wrist tenosynovitis,

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MSt MRCGP.

Posted: 18 October 2026Updated: 18 October 2026 Guideline-Aligned (High Confidence) Clinically Reviewed

The most likely unifying diagnosis is disseminated gonococcal infection (DGI), presenting as the arthritis–dermatitis syndrome. Fever, tenosynovitis, joint pain and pustular skin lesions fit the recognized presentation of disseminated gonorrhoea .

Educational content only. Always verify information and use clinical judgement.

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