Case 45

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 45

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A 45-year-old woman with a 2-year history of increasing unsteadiness was referred from neurology to the rheumatology department. She had a 10-year history of chronic fatigue, arthralgia, and myalgia. She had a history of photosensitive rash. She had stopped wearing contact lenses in her early twenties because of symptomatic dry eyes, carried a water bottle with her to work, and had a constant irritating dry cough. She had two healthy children. One baby had had a transient neonatal rash. Her sister had autoimmune thyroid disease.

Chapter.  1600 words.  Illustrated.

Subjects: Rheumatology

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