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Previous Volume 351:1438-1443 September 30, 2004 Number 14 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.

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In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information, sharing his or her reasoning with the reader (regular type). The authors' commentary follows.

A 42-year-old woman with a history of asthma and the irritable bowel syndrome presented with pain and swelling of her feet and ankles that were associated with a rash on her lower extremities. A few days earlier, the patient had awakened with an achy sensation in her feet, and the pain had progressed since then. She reported having difficulty in walking and . . . [Full Text of this Article]

Commentary

Source Information

From the Division of Infectious Diseases, Beth Israel Deaconess Medical Center and Harvard Medical School (S.K.); the Department of Immunology and Infectious Diseases, Harvard School of Public Health (J.P.D.); and the Division of Infectious Diseases, Brigham and Women's Hospital and Harvard Medical School (J.P.D.) — all in Boston.

Address reprint requests to Dr. Kassutto at the Division of Infectious Diseases, Beth Israel Deaconess Medical Center, Boston, MA 02215, or at skassutto@bidmc.harvard.edu.

Related Letters:

Footprints
Al-Khasawneh K., White P. Jr., Kassutto S., Daily J. P.
Extract | Full Text | PDF  
N Engl J Med 2005; 352:516-517, Feb 3, 2005. Correspondence

This article has been cited by other articles:

• Whelan, J. P., Zembowicz, A. (2006). Case records of the Massachusetts General Hospital. Case 19-2006. A 22-month-old boy with the rapid growth of subcutaneous nodules.. NEJM 354: 2697-2704 [Full Text]  
• Al-Khasawneh, K., White, P. Jr., Kassutto, S., Daily, J. P. (2005). Footprints. NEJM 352: 516-517 [Full Text]