Case 23

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 23

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A 51-year-old man presented with a 2-day history of increasing exertional breathlessness and cough productive of a moderate amount of fresh blood. Over the preceding 3 weeks he had felt very fatigued and noticed migratory joint and muscle pains. On further enquiry, he had seen his GP several times in the last year for a recurrent blocked nose which had been treated as allergic sinusitis. In the past month his nasal symptoms had changed to a foul-smelling discharge. He had no significant past medical history.

Chapter.  1758 words.  Illustrated.

Subjects: Rheumatology

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