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Previous Volume 353:1605-1613 October 13, 2005 Number 15 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 60-year-old man was evaluated in the rheumatology clinic because of a rash and worsening renal function.

He had been well until three months earlier, when he began to have fatigue and weight gain, one week after returning from a visit to his son in Colorado. He could not fit into his shoes, and his wife noticed that he had facial swelling. Three days later, a rash appeared over his buttocks and feet. He saw his primary care physician. The blood pressure was 154/82 mm Hg. There was 1+ bilateral pretibial and pedal edema. Tests for antineutrophil cytoplasmic antibodies and . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Jonathan Kay's Diagnosis

Pathological Discussion

Discussion of Management

Anatomical Diagnosis

Source Information

From the Rheumatology Unit (J.K.) and the Department of Pathology (R.T.M.), Massachusetts General Hospital; and the Departments of Medicine (J.K.) and Pathology (R.T.M.), Harvard Medical School — both in Boston.

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