| Rheumatology Case 3 | |
|---|---|
A 55 year old woman with a history of “bronchial asthma”, recurrent
iritis and articular chondritis presented with a high fever. Clinical
examination revealed a dyspnoiec patient with a moon face and
a saddle-shaped nose with diffuse wheezing bilaterally over the
lungs. Laboratory evaluation showed leukocytosis with polymorphonuclearcytosis,
high ESR, high CRP, and negative ANCA. The chest X-ray was normal.
The differential diagnosis consists of:1. Relapsing polychondritis 2. Cogan’s syndrome 3. Wegener's granulomatosis 4. Systemic vasculitis (Churg-Strauss syndrome)
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