A 64-year-old woman with rheumatoid arthritis (RA) was being treated with oral prednisone, methotrexate 7.5 g weekly, and rofecoxib. She also received thyroid replacement, injections of Kineret (anakinra), a recombinant…
A 71-year-old woman presented initially to her internist with an acute episode of severe cough, mild fever, and weight loss. Chest x-ray and CT scan demonstrated bilateral granulomatous lesions (…
A 76-year-old woman presented several days after a sudden onset of left foot drop that occurred immediately after a fall. She also complained of anorexia, weight loss, malaise, and numbness…
A 41-year-old woman was referred by another neurologist because of leg pain with numbness and tingling in the feet for 4 years. In the last 2 years, she developed leg…
A 44-year-old man presented with a 2-day history of tingling and weakness in the left leg. He had been seen 2 years previously for intermittent tingling and numbness in the…
A 45-year-old man had been in good health until right after he was snow skiing in Colorado, at which time he felt numb and weak in his hands; these symptoms…
A 37-year-old man presented with a 1-year history of progressive weakness in the upper and lower extremities, difficulties raising his arms above his head, and difficulty combing his hair. He…
A 38-year-old man with a 2-year history of kidney failure caused by progressive glomerulonephritis requiring peritoneal dialysis presented with a 1-year history of numbness, tingling, and shooting pains in both…
A 31-year-old black man was referred from another institution for evaluation of a neuropathy with a nerve biopsy suggestive of vasculitis. He had been healthy until 1 year before when…
A 48-year-old insulin-dependent diabetic man presented with a 2-week history of pain and swelling in his right thigh muscle of acute onset. Past medical history was negative. He had mild…
