Anxiety of conscience. The patient is very polite, fastidious, neatly dressed, perfectionist in every aspect and sentimental. He has a history of being under domination of high standard expectations of his parents. They are often lean. Irritability from noise.
Restlessness is a predominant symptom.
The patient suffers from painful swelling of his finger joints. Joints are red and swollen and extremely sensitive to touch and is aggravated by motion. Pains are worse at nights. He feels weak and cold and is better by warmth. He is very sensitive to odors which nauseate him.