Our expert says:
Opal, the first thing to do is to make sure it isn’t the Reiter’s coming back or that it is due to a different connective tissue disorder. It might also be due to a infection of sorts (including malaria, bilharzhia, histoplasmosis, etc.) and unfortunately also tumours. The best would be to see a specialist physician and make sure that it isn’t something serious. Good luck.
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