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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 343:1553-1560 November 23, 2000 Number 21
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Case 36-2000— A 22-Year-Old Man with Night Sweats, Weight Loss, and a Hepatic Mass
John F. Reinus, and Rhonda K. Yantiss

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Presentation of Case

A 22-year-old man was admitted to the hospital because of a hepatic mass.

The patient had been well until three weeks earlier, when he injured the right side of his chest and shoulder, with subsequent pain that was ascribed to a rib contusion. The pain disappeared after nine days, at which point he consulted a physician for clearance to return to work. Examination showed numerous spider angiomas, which were of unknown duration.

For several years, the patient had had difficulty gaining weight, with intermittent night sweats. They had become much more severe during the three nights before the examination, saturating . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. John F. Reinus's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References




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