What causes severe joint pain in both hands, knees, and feet? swelling, reddness, and all of areas are hot to touch, with severe fatigue. thanks.

Arthritis: These symptoms are likely related to arthritis. To know which kind of arthritis medical evaluation by a rheumatologist is necessary.

Rheumatoid Arthritis: At your age it is more likely to be rheumatoid arthritis or another collagen disease like lupus etc.Only way you can find out is by consulting your family physician or a rheumatologist.Need detailed history, physical examination , xrays and/or blood test.Osteoarthritis usually presents at later date and pain and symptoms are limited to the joints only due to degenerative changes in the joints, seemd.