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Letter
An unusual presentation of a common disease
  1. M von Lilienfeld-Toal1,
  2. S Merkelbach-Bruse2,
  3. F L Dumoulin1
  1. 1Department of Medicine I, University of Bonn, D-53127 Bonn, Germany
  2. 2Institute of Pathology, University of Bonn, D-53127 Bonn, Germany
  1. Correspondence to:
    Dr F L Dumoulin;
    dumoulinuni-bonn.de

https://doi.org/10.1136/ard.2003.013375

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    CASE REPORT

    In July 2002, a 52 year old Caucasian woman presented with a 4 week history of high, spiking fevers (up to 40°C) that were accompanied by a transient macular rash, myalgia, and arthralgia affecting most joints. Initially, there had been a sore throat and painful lymphadenopathy in the left supraclavicular fossa. A lymph node was removed for histopathological examination and the lymphadenopathy resolved spontaneously. The past medical history was unremarkable other than a family history of breast cancer which had affected two second degree relatives. The physical and gynaecological examinations were …

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    Footnotes

    • Conflict of interest: No conflict of interest has been declared by the authors. The patient’s written consent was obtained according to the Declaration of Helsinki (BMJ 1996;31:1448–9).