Chapter

Case 27

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: http://dx.doi.org/10.1093/med/9780199587506.003.0027

Series: Oxford Case Histories

Case 27

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A 26-year-old woman, who had been working part-time as a waitress and training to be a beauty therapist, was referred to the rheumatology outpatient department with severe pain and weakness in her legs. The patient stated that her leg symptoms occurred as a result of a fall at her workplace 6 months previously when she slipped on wet tiles in the restaurant. There was initial bruising of her left calf and thigh. Her employers were not sympathetic, denying that the floor was wet. She was in the process of taking legal action against them. She had not been able to work since because her legs were too painful; her mobility was severely affected and she was confined to her home. Her parents were present during the consultation and they provided the history. The patient was tearful and did not say very much, but complained of fatigue and pain. There was no past medical history apart from migraines and dysmenorrhea.

Chapter.  1213 words. 

Subjects: Rheumatology

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