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65yo♀️⚡swellg wrist: tenosyn🔪 relap 🆕⚡ le wrist/shoulder ⚗️ESR28; ANA160 🎞️hand/CXR✔️ US/MRI 🔬lympho infilt 〰️granul;🚫germ ➡️MTX Pred 10mths: teno⬆️ other✔️ 3rd SE: nontb granulom;PCR/stain✔️ 3wks myco-spec🧫 M malmoe ◾NTM tenovag&polyarthritis https://