Case 37-2021: A 60-Year-Old Man with Fevers, Fatigue, Arthralgias, a Mouth Ulcer, and a Rash

A 60-year-old man presented with ongoing fevers and fatigue, a tongue ulcer, dry scaly nodules on the face and hands, and migratory arthralgias in the wrists, fingers, elbows, and shoulders. CT revealed dependent reticular opacities throughout the lower lobes of the lungs. Hypoxemia developed. A dia...

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Veröffentlicht in:	The New England journal of medicine 2021-12, Vol.385 (24), p.2282-2293
Hauptverfasser:	Wallace, Zachary S, Rodriguez, Karen, Dau, Jonathan, Bloch, Donald B, Champion, Samantha N
Format:	Artikel
Sprache:	eng
Schlagworte:	Analgesics Arthralgia - etiology Biopsy Cancer Case reports Clinical Practice Deltoid Muscle - pathology Dermatology Dermatology General Dermatomyositis - complications Dermatomyositis - diagnosis Dermatomyositis - drug therapy Diagnosis, Differential Edema Emergency Medicine Emergency Medicine General Exanthema - etiology Family medical history Fatal Outcome Fatigue Fatigue - etiology Fever Fever - etiology General & Internal Medicine Hospitalist Hospitals Humans Hypoxemia Immunosuppressive Agents - therapeutic use Infections Infectious Disease Infectious Disease General Laboratories Life Sciences & Biomedicine Lung - diagnostic imaging Lung - pathology Lung diseases Magnetic resonance imaging Male Medicine, General & Internal Mens health Middle Aged Mouth Oral Ulcer - etiology Oxygen saturation Pain Primary Care Rheumatic diseases Rheumatology Rheumatology General Science & Technology Severe acute respiratory syndrome coronavirus 2 Shoulder Tomography, X-Ray Computed Tongue Ulcers
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Beschreibung
Zusammenfassung:	A 60-year-old man presented with ongoing fevers and fatigue, a tongue ulcer, dry scaly nodules on the face and hands, and migratory arthralgias in the wrists, fingers, elbows, and shoulders. CT revealed dependent reticular opacities throughout the lower lobes of the lungs. Hypoxemia developed. A diagnostic test was performed.
ISSN:	0028-4793 1533-4406
DOI:	10.1056/NEJMcpc2107353