Category Archives: Respiratory Symptoms - Part 3

A 44-Year-Old Woman With Polyarthritis, Fever, and Hilar Adenopathy: Conclusions

Some but not all lymphoid cells have Epstein-Barr virus-encoded RNA. Adult-onset Still disease affects women and men in the age range of 30 to 50 years. Fever can be present before the arthritis. The arthritis is often polyarticular and involves … Continue reading

A 44-Year-Old Woman With Polyarthritis, Fever, and Hilar Adenopathy: Discussion

Diarrhea, weight loss, arthritis, and generalized lymphadenopathy were the most frequent initial manifestations in patients with Whipple disease seen at the Mayo Clinic. Biopsy reveals tissue infiltration with foamy macrophages with periodic acid Schiff-positive granular inclusions containing bacteria. Patients with … Continue reading

A 44-Year-Old Woman With Polyarthritis, Fever, and Hilar Adenopathy: Treatment

The presence of at least three of these criteria had a sensitivity of 93% and a specificity of 99% (Table 2). However, some authors have published case reports describing unusual difficulty with this diagnosis. Patients with sarcoidosis may have positive … Continue reading

A 44-Year-Old Woman With Polyarthritis, Fever, and Hilar Adenopathy: Study

Periarticular inflammation with soft tissue swelling with no direct joint involvement is considered a variant of Lofgren syndrome. Ultrasound and MRI can provide an exact anatomic location of the inflammatory process. The joint fluid, if present, is usually mildly inflammatory … Continue reading

A 44-Year-Old Woman With Polyarthritis, Fever, and Hilar Adenopathy: Resolution within 3 months

What is the differential diagnosis in this patient with asymmetric large-joint oligoarthritis, fever, and bilateral hilar adenopathy? How should this patient be treated? What clinical course should be expected? Diagnosis: Sarcoid arthritis consistent with Lofgren syndrome Treatment: Nonsteroidal antiinflammatory drugs … Continue reading

A 44-Year-Old Woman With Polyarthritis, Fever, and Hilar Adenopathy: Laboratory and Radiographic Findings

Abnormal laboratory test results included glucose, 147 mg/dL; C-reactive protein, 5 mg/L (0.7 to 1.0 mg/dL); erythrocyte sedimentation rate, 44 mm/h; total complement, 88 U/mL (26 to 58 U/mL); and hepatitis B core antibody positive. CBC differential count, electrolytes, lever … Continue reading

A 44-Year-Old Woman With Polyarthritis, Fever, and Hilar Adenopathy

A 44-year-old white woman presented with an 8-week history of increasing bilateral (right more than left) ankle pain with progressive periarticular edema and inflammation. The right wrist and both elbows were additively and mildly involved. She had intermittent fever with … Continue reading

Chronic Cough Due to Lung Tumors: Summary of Recommendations

There have been few studies of benzonatate as a peripherally acting antitussive in the setting of pulmonary malignancies. In a case series, benzonatate effectively controlled cough in 80% of 21 patients with malignant pulmonary involvement, and it was effective for … Continue reading

Chronic Cough Due to Lung Tumors: Pharmacotherapy of Cough

Opioids appear to be the best cough suppressants in patients with lung cancer. Dihydrocodeine and hydrocodone are the most widely used opioids. In a phase II dose-titration study of 25 patients with advanced cancer who have cough, 5 mg of … Continue reading

Chronic Cough Due to Lung Tumors: Pharmacotherapy of Cough

Cough may persist in the setting of lung cancer, despite all other treatments that are directed at the cancer and the associated symptom of cough. When cough persists, most patients will be offered pharmacologic therapy that is designed to control … Continue reading

Pages: Prev 1 2 3 4 5 6 7 8 9 10 ... 12 13 14 Next