Case 28-1975

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Abstract
Presentation of CaseA 52-year-old woman entered the hospital for a lung biopsy.She was well until 16 years earlier, when the first of multiple crops of purpuric lesions of the legs developed. During the next five years these episodes were accompanied by vague symptoms that included fever, arthralgia, myalgia, headache, tinnitus, fatigue, pleuritic pain and hemoptysis. Ten years before admission the erythrocyte sedimentation rate was elevated, and a test for rheumatoid factor was positive; the platelet count was normal. A brief trial of adrenocorticosteroid therapy resulted in improvement only at doses that she could not tolerate. The symptoms recurred, . . .
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