55 year-old Female with Hematuria

23-year-old female with dyspnea, hematuria, and seizure progressing to respiratory failure.

Takayasu arteritis is a rare chronic inflammatory disease on unknown etiology. We report a 23-year old female who presented with fever, shortness of breath and abdominal pain. Shortly thereafter the patient developed hematuria, hemoptysis and seizure progressing to respiratory failure. She was found to have aortitis and alveolar hemorrhage. We discuss the clinical manifestations and the diagnos...

A 55-year-old peruvian woman with unresponsive pulmonary tuberculosis.

A 55-year-old Peruvian woman presented to our outpatient clinic with a 7-month history of cough, whitish sputum with bloody streaks, and occasional hemoptysis (up to 125 mL). She also had moderate chest pain and progressive shortness of breath without fever or weight loss. With the onset of symptoms, she noted the first of 4 sequential pruritic nodular skin lesions over different areas of her t...

A 55-year-old Man with Painless Joint Swelling.

A 55-year-old man presented with swelling of left knee for the past one month. He also complained of episodes of joint locking. There was no history of pain, fever or trauma. Physical examination revealed localized increase in temperature of the skin, a large joint effusion, and decreased range of motion. His total leukocyte count was normal; ESR was raised to 48 mm in the first hour. Anteropos...

16-year-old female with amenorrhea.

An 86-year-old female with lymphangioleiomyomatosis.

We wish to report a case of lymphangioleiomyomatosis in an 86-yr-old female who presented with acute breathlessness on a background of increasing dyspnoea over a 3-yr period. She had been told that she had chronic obstructive pulmonary disease 2 yrs prior to this presentation, despite having never smoked. At the time of admission she was taking regular nebulised salbutamol but no other respirat...