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A 67-year-old woman was initially admitted to this hospital because of hypertensive encephalopathy.
The patient had been well until one month before admission, when she became weak and began to have nosebleeds. A physician noted hypertension and cauterized the nasal vessels. The weakness increased progressively over the next few weeks, with exertional dyspnea after the patient walked a few steps. She also had difficulty swallowing solid foods, a weight loss of 10 kg, and symptoms that suggested the presence of Raynaud's phenomenon.
The results of laboratory studies performed four days before admission were consistent with the presence of polymyositis and
Differential Diagnosis
Muscle Disease
Encephalopathy
Systemic Sclerosis
Acute Hypertension
Mixed Connective-Tissue Disease
Cardiac Abnormalities
Renal Disease
Clinical Diagnosis
Dr. Joseph H. Korn's Diagnoses
Pathological Discussion
Anatomical Diagnoses
References
Related Letters:
Case 26-2001: Scleroderma Renal Crisis and Polymyositis
O'Callaghan A. S., Horrillo M. L., Tarrés M. V., Shapiro L. S., Aldington D., Lopez-Ovejero J. A., Korn J. H.
Extract |
Full Text |
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N Engl J Med 2002;
346:1916-1918, Jun 13, 2002.
Correspondence
This article has been cited by other articles:
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