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.
Friday, November 7, 2008
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2 comments:
saddle nose
wegener's granulomatosis
very nice!
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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.
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