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A 22-year-old man was admitted to the hospital because of fever, abdominal pain, diarrhea, and polyarthralgia.
The patient had been well until two years before admission, when a tremor developed and a diagnosis of Graves' disease was made. The patient declined radioiodine treatment. The administration of propranolol and methimazole lessened the tremor.
Three months before admission, a persistently low thyrotropin level led to an increase in the dose of methimazole. Soon thereafter, migratory arthralgia accompanied by swelling began in the right ankle and spread to the left ankle, knees, small joints of the hands, and both elbows, with a feeling
Differential Diagnosis
Polyarteritis Nodosa
Drug-Induced Vasculitis
Diagnostic Procedure
Clinical Diagnosis
Dr. Mahboob U. Rahman's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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