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 340:455-464 February 11, 1999 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.

	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 38-year-old woman (gravida 3, para 2) was admitted to the hospital because of left-sided chest pain.

The patient, who worked as a day-care provider, had been well until seven months earlier, when headaches and pain in the neck and shoulder began. One month later she was discovered to be pregnant. A test for antinuclear antibodies was positive, at a titer of 1:5120, with a nucleolar pattern of staining. Systemic lupus erythematosus was diagnosed, and prednisone was administered. Three months before admission, severe myalgias and progressive dysphagia developed, with a weight loss of about 7 kg.

Four days before admission, . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Michael J. Landzberg's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References

This article has been cited by other articles:

• Ten Harkel, A. D. J., Blom, N. A., Ottenkamp, J. (2002). Isolated Unilateral Absence of a Pulmonary Artery: A Case Report and Review of the Literature. Chest 122: 1471-1477 [Abstract] [Full Text]  
• Weiss, B.M, Hess, O.M (2000). Pulmonary vascular disease and pregnancy: current controversies, management strategies, and perspectives. Eur Heart J 21: 104-115