Timeline:
Her condition started 2 months prior to presentation with right distal leg and ankle pain. The pain is dull aching, deeply seated and mild in nature. It started gradually. The pain increase with any type of effort and associated with night sweating. This pain affect her work performance and her walking distance.
The pain was associated with swelling on the anterior side of the ankle. There was skin discoloration and no associated sinus discharge. She also complained of night fever and weight loss and no loss of appetite or fatigability. She has no significant past or family history and her other systems were clear.