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Previous Volume 354:623-630 February 9, 2006 Number 6 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

Dr. Celine R. Gounder (Department of Medicine): A 79-year-old woman was admitted to the hospital because of myalgias, fatigue, and shortness of breath.

Hyperlipidemia had been diagnosed six years earlier and had been controlled with simvastatin. Three years before admission, treatment with simvastatin was discontinued because of myalgias, and atorvastatin was started. Seven months before admission, pain developed over the lateral aspect of the chest wall bilaterally, extending from the axillas to the middle of her rib cage. The area was sore to the touch, but the pain was not affected by activity or changes in position. It did not . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Jonathan Kay's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Source Information

From the Department of Rheumatology, Allergy, and Immunology (J.K.) and the Departments of Medicine (D.S.F.) and Pathology (J.R.S.), Massachusetts General Hospital; and the Departments of Medicine (J.K., D.S.F.) and Pathology(J.R.S.), Harvard Medical School — both in Boston.

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