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These medical problems have necessitated regular hospitalization for the past few years. In addition, she has heart and visual problems, and suffers from perception deafness and obstructive sleep apnea syndrome (OSAS). Yet, her disease has made it necessary to replace both her hip and knee joints and she has developed a severe and progressive polyneuropathy. This 45-year-old female patient suffers from rheumatoid arthritis since 24 years for which she has used multiple medications, including drugs that suppress the immune system.
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