Lesson of the month
A case of secondary Sjögren's syndrome with a swollen thigh
Division of Arthritis and Rheumatic
Diseases (L329A), Oregon Health Sciences
University, Portland, OR, USA
Correspondence to: Dr A A Deodhar, Division of Arthritis and Rheumatic Diseases (L329A), Oregon Health Sciences University, Portland, OR 97201, USA.
Accepted for publication 10 January 1997
| The first 150 words of the full text of this article appear below. |
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Case report |
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A 73 year old English woman with seropositive, nodular, severe destructive rheumatoid arthritis (RA) and secondary Sjögren's syndrome was seen with a 10 day history of pain and five day history of swelling in the left thigh.
She reported that she got out of bed 10 days ago, and felt pain in her left thigh, which she presumed to be a pulled muscle. She had difficulty in weight bearing and walking, but continued her already limited daily activities in a sheltered accommodation. Five days after this episode she noticed generalised swelling of her left thigh and developed fever (38.5°C), chills, headache, and malaise. The fever and associated symptoms resolved with high doses of acetaminophan, but the thigh pain and swelling progressively worsened to where she became bedridden. She had no history of swelling in her calves, recent surgery, prolonged immobilisation or any injury to her left thigh before the onset of pain.
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