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Which of the Following Is the Most Likely Diagnosis for This Patient

a 45-year-old Female Patient Presents with Joint Pain, Swelling and Stiffness in Her Hands, Wrists and Knees. She Also Complains of Fatigue and Occasional Low-grade Fever. on Physical Examination, the Nurse Notes Symmetrical Joint Swelling and Tenderness. the Patient’s Laboratory Results Show Elevated Levels of Rheumatoid Factor and Anti-cyclic Citrullinated Peptide (Anti-ccp) Antibodies

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