A 38-year-old man presents with lateral swelling and tenderness of both forearms, there is severe induration of the skin (peau d’orange), bilateral carpal tunnel syndrome with flexion contractions of the fingers. He denies Raynaud’s phenomenon. Investigations show Hb 13.1 g/dl, platelets 360 ´ 109/l, WCC 7.8 ´ 109/l, neutrophils 4.3 ´ 109/l, lymphocytes 2.0 ´ 109/l, eosinophils 1.5 ´ 109 /l, serum protein electrophoresis demonstrates hypergammaglobulinaemia. What is the diagnosis? Progressive systemic sclerosis Eosinophilic fasciitis Eosinophilia myalgia syndrome Paraneoplastic syndrome Jaccoud’s arthropathy
Posted on: Sun, 03 Aug 2014 22:49:23 +0000
Trending Topics
Recently Viewed Topics
© 2015