A 46-year-old woman has a history of oral ulcers and worsening joint pain. She is also profoundly fatigued after sun exposure and has lung infiltrates upon presentation. Do you know what's wrong? MedTwitter
She initially presented to another hospital with several days of worsening fatigue and fevers. At the other hospital, she underwent chest imaging, which demonstrated right-sided multifocal patchy ground glass opacities and a right-sided multiloculated effusion. Antibiotic therapy was started, and her symptoms improved; however, repeated CT showed new left upper lobe infiltrates with stable right lung findings. The new findings prompted her transfer for further workup and evaluation.
The patient notes that she has experienced several weeks of poor appetite and intermittent abdominal pain associated with her fevers and fatigue. She has a 6-month history of oral ulcers and a 2-year history of bilateral hand, wrist, and elbow pain, with intermittent swelling, erythema, and stiffness that has progressed for the past 6 months. The remainder of her review of systems is notable forand a history of photosensitivity, which manifests as profound fatigue after sun exposure.
Before her hospitalization, the patient had sought medical attention for her abdominal pain. At that visit, a CT scan showed new trace perisplenic fluid and laboratory results demonstrated leukopenia with thrombocytopenia, for which she underwent a bone biopsy several days before her current presentation. The results of the biopsy are pending.
She has no family history of rheumatologic or pulmonary disease. She works as a teaching assistant, and her social history is notable for rare alcohol use and a 30–pack-year smoking history.
Canada Latest News, Canada Headlines
Similar News:You can also read news stories similar to this one that we have collected from other news sources.
Former Arizona assistant attorney general pushes back on claims she was forced outArizona's new attorney general is getting heat from one of the former administration's lawyers over how she left the agency.
Read more »
Lightfoot Campaign Email to CPS Teachers a ‘Mistake;' Mayor Says She'll Cooperate With Any InvestigationAfter a controversial email to Chicago Public Schools teachers urged them to ask students to help with her mayoral campaign, Mayor Lori Lightfoot says that the note was a “mistake” and that her campaign will cooperate fully with any ethics investigation moving forward.
Read more »
Chelsea Handler declares she's immune to cancel culture because she's not ‘racist,’ ‘sexist’ ‘idiot’Celebrity Chelsea Handler dismissed the fear of cancel culture, saying it is easy if you are not a 'racist,' 'sexist' or an 'idiot.'
Read more »
Lisa Rinna Says She Left 'RHOBH' Because She 'F***ing Hated' ItLisa Rinna didn't just dislike her job ... she 'f***ing hated' it!
Read more »
At 900 pounds, she was deemed too big for bariatric surgery. 1 doctor took a chanceWhen Katie Peterson’s weight reached 900 pounds, her life depended on bariatric surgery. Many hospitals deemed it too risky. One doctor agreed to take her on.
Read more »
Santee YMCA allows naked man to use women's locker room with underage girls -SANTEE (KUSI) – Recently, 17-year-old, Rebecca Phillips, visited the Santee YMCA to workout after work, as she routinely does. But this time, as she was showering, she encountered a naked man inside the women’s locker as she was showering. Rebecca is underage, and explained to Santee City Council that she was scared for her safety. She ran into a stall...
Read more »