| Rheumatology Case 5 | |
|---|---|
 A
40 year old woman presented with progressive muscle weakness and
severe aching and pain in the upper and lower extremities. Physical
examination revealed tenderness on palpation over the affected
bones but no signs of arthritis. Small lymph nodes were palpable
in the posterior triangle of the neck bilaterally. Laboratory
evaluation revealed severe hypercalcemia. X-rays of the hands
showed extensive osteolytic lesions. The differential diagnosis
consists of:1. Sarcoidosis 2. Hyperparathyroidism 3. Metastatic lytic lesions 4. Osteolytic lesions in T-cell lymphoma.
|