Friday, November 7, 2008

The Sport of Kings

This patient presents with persistent rhinorrhea, oral ulcers, polyarthralgias, myalgias, and cough. A urinalysis shows microscopic hematuria.

Challenge: What's the diagnosis here?

Related Questions:
1. What's the finding shown here?
2. What's the sport of kings?

Image shown under fair use.


Alex said...

saddle nose
wegener's granulomatosis

Craig Chen said...

very nice!
The Sport of Kings

This is Wegener’s granulomatosis, an ANCA positive vasculitis that involves the pulmonary and renal systems. The image shows a saddle-nose deformity, seen in various diseases including Wegener’s. The sport of kings is Thoroughbred horse racing (referencing the saddle nose).

Sources: UpToDate;