Chapter

Case 35

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/9780199587506.003.0035

Series: Oxford Case Histories

Case 35

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A 29-year-old man was referred to the rheumatology outpatient department with a 2-month history of cramps and muscular aching in his arms and thighs. He was normally healthy, apart from hay fever in the summer. He worked as a forklift-truck driver in a warehouse. He had no significant family history, apart from non-insulin-dependent diabetes in his father, and his only travel in the preceding 5 years had been to Europe. He exercised regularly and had run a marathon 3 months previously. Following the marathon, he recalled having an upper respiratory infection and cough which had settled completely with a 7-day course of amoxicillin. On direct questioning, he denied rash or Raynaud’s phenomenon.

Chapter.  1630 words.  Illustrated.

Subjects: Rheumatology

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