Case Challenges: Radiology
- Pediatric Annals
- November 2011 - Volume 40 · Issue 11: e1-e4
A 17-year-old female presented with a 6-week history of fatigue and a 2-week history of mild swelling of her hands and ankles. She complained of diffuse joint pain, intermittent nausea, dyspnea on exertion, and headache. She also reported that her fingers “changed colors in the cold.” During the previous month, she had taken acetaminophen almost daily for low-grade, intermittent fevers. In the previous 4 days, she had developed a rash on her inner thighs and arm, with recurrent nausea, generalized myalgias, intermittent back pain, heat and cold intolerance, and weakness.
All authors are affiliated with West Virginia University School of Medicine.
Kokab C. Darbandi, MD, is the Pediatric Chief Resident. Linda S. Nield, MD, is Associate Professor of Pediatrics. Shiv Someshwar, MD, is Associate Professor of Pediatrics.
Drs. Darbandi, Nield, and Someshwar have disclosed no relevant financial relationships.
Address correspondence to: Kokab C. Darbandi, MD, West Virginia University School of Medicine, Morgantown, WV 26565; email: firstname.lastname@example.org