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A 25-year-old man was admitted to the hospital because of asthma, cardiac failure, diarrhea, and weakness of the right hand.
He had been well until two years earlier, when asthma developed. It was managed with bronchodilator medications and intermittent pulsed doses of corticosteroids, including prednisone. Seven months before admission, treatment with montelukast sodium was begun. The wheezing worsened, and repeated doses of corticosteroids were administered. Four months before admission, laboratory tests were performed (Table 1 and Table 2). Several weeks before admission, the dose of prednisone was tapered, but information on the specific regimen was not available.
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Clinical Diagnosis
Dr. Jonathan P. Arm's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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