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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 328:195-202 January 21, 1993 Number 3
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Case 3-1993— A 51-Year-Old Ethiopian Woman with Myalgia, Weight Loss, and Mediastinal Lymphadenopathy
Mark S. Pasternack, and Eugene J. Mark

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Presentation of Case

A 51-year-old woman was admitted to the hospital with diffuse aches and mediastinal lymphadenopathy.

The patient was well until 15 months earlier, when she began to experience pain in the shoulders, right arm, and legs with the onset of cold weather. She was seen in a hospital in her native Ethiopia, where injections were administered and oral medications were prescribed, without improvement. Six months before admission sweats developed and continued; the patient was uncertain about the presence of fever. One month later she found that her myalgias and arthralgias interfered with her sleep and were accompanied by fatigue, anorexia, a . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Mark S. Pasternack's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References



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