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A 17 1/2-year-old girl was admitted to the hospital because of a thoracoabdominal aneurysm.
The patient had been born after a normal pregnancy and delivery, and her early growth, development, and health were normal. Four years before admission, she had begun to experience ocular irritation and a decrease in hearing, which progressed over a period of one month to almost total bilateral sensorineural deafness. She was initially treated with corticosteroids administered orally, but because of abdominal discomfort, the medication was subsequently injected. The ocular symptoms improved, but her hearing did not.
Seven months before admission, a thoracoabdominal aneurysm was detected,
Differential Diagnosis
Clinical Diagnosis
Dr. Paul L. Romain's Diagnosis
Pathological Discussion
Anatomical Diagnoses
References
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