The arthritis of multiple joints

The patient is seen in the office of an infectious disease specialist who treated her 1-year previously when she had Lyme disease. She complains of generalized joint pain and stiffness. Based on laboratory test results and physical examination, the physician concludes that the patient no longer has active Lyme disease. However, he concludes that her arthritis of multiple joints is the residual effect, or sequelae, of the cured Lyme disease.