**Diagnosis:** Reactive arthritis
**Reasoning:**
* Intermittent joint pain in multiple joints, including knees and elbows, is a hallmark of reactive arthritis.
* The pain is worse with activity and improves with rest, which is also typical of reactive arthritis.
* The patient has a history of acute pancreatitis, which can be a trigger for reactive arthritis.
**Likelihood scale:** Likely

**Diagnosis:** Psoriatic arthritis
**Reasoning:**
* Intermittent joint pain in multiple joints, including knees and elbows, is a common symptom of psoriatic arthritis.
* The pain is worse with activity and improves with rest, which is also typical of psoriatic arthritis.
* The patient has a history of undiagnosed pain in the kidney area, which can be a symptom of psoriatic arthritis.
**Likelihood scale:** Possible

**Diagnosis:** Gout
**Reasoning:**
* The patient has a history of intermittent joint pain in the knees, which is a common symptom of gout.
* The pain is worse with activity and improves with rest, which is also typical of gout.
* The patient's pain may worsen when eating peanuts, which could be a trigger for gout attacks.
**Likelihood scale:** Possible

**Diagnosis:** Fibromyalgia
**Reasoning:**
* Intermittent joint pain in multiple joints is a common symptom of fibromyalgia.
* The pain is worse with activity and improves with rest, which is also typical of fibromyalgia.
* The patient has a history of sleep apnea, which is a risk factor for fibromyalgia.
**Likelihood scale:** Possible

**Diagnosis:** Lyme disease
**Reasoning:**
* Intermittent joint pain in multiple joints is a common symptom of Lyme disease.
* The pain is worse with activity and improves with rest, which is also typical of Lyme disease.
* The patient has a history of undiagnosed pain in the kidney area, which could be a symptom of Lyme disease.
**Likelihood scale:** Possible

It is important to note that these are just a few possible diagnoses. More tests and evaluation are needed to make a definitive diagnosis.
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