Masterclass
Asthma and epididymitis: the calm before the storm
Gerald H M George, John S Axford
Academic Unit for
Musculo-skeletal Diseases, St George's Hospital Medical School, London
Correspondence to: Dr G H M George, Department of Rheumatology, St Helier Hospital, Wrythe Lane, Carshalton, Surrey SM5 IAA
Accepted for publication 26 July 1999
| The first 150 words of the full text of this article appear below. |
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Case report |
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A 17 year old Asian college student presented with a two month history of arthralgia, arthritis of his ankles and wrists, numbness of his feet and weight loss. He had a history, for the previous month, of epididymo-orchitis treated at another hospital.
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He had been investigated for abdominal pain and weight loss by plain abdominal radiography, abdominal ultrasound scan and rectal biopsy. Results were all normal. The symptoms were associated with a poor appetite but no history of nausea, vomiting or diarrhoea. No definite diagnosis was reached.
He had a painful left ankle with associated numbness of the lateral aspect of his left foot. He felt generally weak and lethargic. He subsequently developed right ankle discomfort and swelling and bilateral wrist swelling and pain.
Past medical history included allergic rhinitis and asthma, since childhood, for which he was treated regularly with beclomethasone and salbutamol inhalers.
Clinical examination on presentation revealed a
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