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Clinical Problem-Solving
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Volume 346:1394-1397 May 2, 2002 Number 18
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One Foot Away
Jessica E. Haberer, M.D., Joachim H. Ix, M.D., and Lawrence M. Tierney, Jr., M.D.

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A 59-year-old women presented with fever, abdominal pain, and hematuria. Two years earlier, systemic lupus erythematosus had been diagnosed after the development of a malar rash, arthritis, and nephritis. Three months before admission, she had had fever, night sweats, and a 4.5-kg (10-lb) weight loss. One week before admission, she received doxycycline for presumed bronchitis. On the night before admission, she had three episodes of hematuria associated with constant, nonradiating cramping of the lower abdomen that was worsened by urination.

Hematuria is common and would ordinarily suggest the presence of acute cystitis. However, because this patient has lupus, she may . . . [Full Text of this Article]

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From the Department of Medicine, University of California, San Francisco.

Address reprint requests to Dr. Tierney at the Veterans Affairs Medical Center, 4150 Clement St., San Francisco, CA 94121, or at vaspa@itsa.ucsf.edu.

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One Foot Away
Zeuner R. A.
Extract | Full Text | PDF  
N Engl J Med 2002; 347:1805, Nov 28, 2002. Correspondence

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