Case 19

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 19

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A 47-year-old nurse was referred with a 3-month history of dry eyes and mouth and aching upper-arm muscles, and a 3-day history of left-sided facial weakness. For the previous year she had been suffering from fatigue, poor sleep, and non-specific joint pains. Six months previously she had developed a pustular psoriatic rash on her palms and feet, resistant to topical treatments.

Chapter.  1509 words. 

Subjects: Rheumatology

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