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Case Records of the Massachusetts General Hospital
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Volume 353:1148-1157 September 15, 2005 Number 11
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Case 28-2005 — A 42-Year-Old Man with Weight Loss, Weakness, and a Rash
Myles Wolf, M.D., M.M.Sc., Henry Rose, M.D., and R. Neal Smith, M.D.

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Presentation of Case

A 42-year-old man was admitted to another hospital because of weight loss, hematuria, hemoptysis, weakness, and a rash.

He had been well until three years earlier, when his family had moved into a new home. Shortly thereafter he began to have shortness of breath, wheezing, and a cough. An environmental inspection of the home revealed mold infestation, and the house was thoroughly cleaned. His symptoms persisted, and evaluations by specialists in infectious diseases, pulmonary diseases, and allergies revealed no cause. During the next two years, his symptoms were controlled with bronchodilators and oral prednisone at a dosage that ranged from . . . [Full Text of this Article]

Differential Diagnosis

Purpura

Neurologic Deficits

Eosinophilia

Acute Renal Failure

            Diagnosis of Rapidly Progressive Glomerulonephritis

            Causes of Rapidly Progressive Glomerulonephritis

The Churg–Strauss Syndrome

Clinical Diagnosis

Dr. Myles Wolf's Diagnosis

Pathological Discussion

Anatomical Diagnosis


Source Information

From the Nephrology Division, Department of Medicine (M.W.), and the Department of Pathology (R.N.S.), Massachusetts General Hospital, Boston; the Nephrology Division, Department of Medicine, Berkshire Medical Center, Pittsfield, Mass. (H.R.); and the Departments of Medicine (M.W.) and Pathology (R.N.S.), Harvard Medical School, Boston.


Related Letters:

Case 28-2005: A Case of Systemic Necrotizing Vasculitis
Dixit R. K., Rose H.
Extract | Full Text | PDF  
N Engl J Med 2005; 353:2516, Dec 8, 2005. Correspondence

This article has been cited by other articles:



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