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Pulmonary infiltrates and abdominal colic pain in a patient with a connective tissue disorder
G Herrero-Beaumont, O Sánchez-Pernaute, J C Acebes
Department of
Rheumatology, Jiménez Díaz Foundation, Universidad Autónoma
Madrid, Spain
Correspondence to: Dr G Herrero-Beaumont, Department of Rheumatology, Fundación Jiménez Díaz, Avda Reyes Católicos 2, 28040 Madrid, Spain
Accepted for publication 24 August 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 32 year old white women was admitted to our hospital complaining of long term fever and fatigue. She reported recurrent episodes of fever lasting 7 to 10 days accompanied by joint pain and weakness during the past four months. Subsequently she developed a productive cough and pleuritic chest pain on the right side. She had not travelled recently or been exposed to contagious diseases. She had not noticed any skin lesions, but on specific questioning reported photosensitivity and Raynaud's phenomenon. She had a history of several lung infections and urolithiasis. She had had two normal deliveries and no miscarriages. There was a family history of interstitial lung disease.
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On admission she was febrile (37.8°C). Physical examination revealed a conjunctival injection and bilateral submandibular lymph nodes. Wheezes were audible in the right lung base. Cardiac auscultation and abdominal palpation were unremarkable. Joint examination showed tenderness of proximal interphalangeal joints.
Laboratory data included the
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Pain (neurology)
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Clinical diagnostic tests
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Radiology (diagnostics)
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Connective tissue disease
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