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Previous Volume 360:1446-1451 April 2, 2009 Number 14 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 51-year-old woman with a history of hypertension and depression reported progressively worsening pain in the left thigh over a period of several months, which had made her unable to walk for the past week. She also described generalized weakness and pains in her lower back, arms, and chest. She reported no weight loss, anorexia, trauma, or fever. She did not drink . . . [Full Text of this Article]

Commentary

Source Information

From the Department of Medicine, Weill Cornell Medical Center, New York (B.M.R.); and the Department of Medicine, Cook County (Stroger) Hospital (P.D.H., S.M., H.C.), and Rush Medical College (P.D.H., S.M.) — both in Chicago.

Address reprint requests to Dr. Reilly at the Department of Medicine, Weill Cornell Medical Center, 525 E. 68th St., Rm. M-522, Box 130, New York, NY 10065, or at brr2013@med.cornell.edu.

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