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.

2 comments:

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; www.uveitis.org.