FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 332:1773-1780 June 29, 1995 Number 26 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.

	Full Text PDF Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

Presentation of Case

A 66-year-old right-handed man was admitted to the hospital because of a right hemiparesis with sensory involvement, aphasia, and agitation with intermittent somnolence.

There was a four-year history of questionable rheumatoid arthritis managed with hydroxychloroquine and prednisone in a dose that rose to 40 mg daily during bouts of increased stiffness and swelling. He also used an albuterol inhaler because of dyspnea that was ascribed to chronic obstructive pulmonary disease or rheumatoid lung disease. The patient was otherwise well until approximately 14 weeks before admission, when he experienced vague tingling of the right arm. One week later he had a . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Peter N. Riskind's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Addendum

References

This article has been cited by other articles:

• Cuevas, L A, Fuchs, H A, Weiner, S M, Warnatz, K, Schumacher, M (2004). Progressive multifocal leucoencephalopathy and immunosuppression * Authors' reply. Ann Rheum Dis 63: 112-113 [Full Text]  
• Warnatz, K, Peter, H H, Schumacher, M, Wiese, L, Prasse, A, Petschner, F, Vaith, P, Volk, B, Weiner, S M (2003). Infectious CNS disease as a differential diagnosis in systemic rheumatic diseases: three case reports and a review of the literature. Ann Rheum Dis 62: 50-57 [Abstract] [Full Text]