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Previous Volume 359:2478-2482 December 4, 2008 Number 23 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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In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information, sharing his or her reasoning with the reader (regular type). The authors' commentary follows.

A 25-year-old woman with a history of depression, mitral-valve prolapse, and migraine headaches presented to a hospital emergency department with a 3-day history of subjective fever, diffuse arthralgia, and severe generalized headache that was not characteristic of her previous migraines.

Headache, often a benign condition, may be a manifestation of a serious disorder, such as subarachnoid hemorrhage, meningitis, or a tumor. Although . . . [Full Text of this Article]

Commentary

Source Information

From the Department of Medicine, University of Michigan Health System, Ann Arbor (M.P.T.); and the Department of Medicine, Duke University Medical Center, Durham, NC (A.W.).

Address reprint requests to Dr. Wang at DUMC 3428, Durham, NC 27710, or at a.wang@duke.edu.

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