Case 29

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 29

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A 36-year-old previously fit green-keeper at a golf course was admitted to the infectious diseases unit with a 5-week history of puffy hands, weakness of the arms and legs, and fatigue. He was finding it difficult to stand from sitting and had episodes of night-time fever. There was no travel history. He owned a dog. There was no history of tick bites, no contact with other individuals with a similar history, no past medical history, and no relevant family history. He had been a smoker of 15 cigarettes a day since age 19 years. Specific enquiry excluded Raynaud’s syndrome, dryness of eyes or mouth, rashes, or difficulty in swallowing and there was no change in bowel habit.

Chapter.  1759 words.  Illustrated.

Subjects: Rheumatology

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