Case 5

Joel David, Anne Miller, Anushka Soni and Lyn Williamson

in Oxford Case Histories in Rheumatology

Published on behalf of Oxford University Press

Published in print October 2011 | ISBN: 9780199587506
Published online November 2012 | e-ISBN: 9780191753442 | DOI:

Series: Oxford Case Histories

Case 5

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A 76-year-old retired general practitioner presented to the rheumatology department with polyarthritis which had developed insidiously over the previous 18 months. He was a lifelong asthmatic with a 10-year history of hypertension, a heavy smoker, and a heavy social drinker. He took diclofenac, enalapril, and prednisolone 5 mg daily, and used salbutamol and beclometasone inhalers. He admitted to self-medicating with oral steroids for most of his life to control his chest symptoms.

Chapter.  1475 words.  Illustrated.

Subjects: Rheumatology

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