Case 37-1986: A 50-Year-Old Woman with Back Pain, Extensive Travel, and Exposure to Farm Animals

Richard C. Cabot; Robert E. Scully; Eugene J. Mark; Betty U. Mcneely; J. H. Maguire; A. E. Rosenberg

doi:10.1056/NEJM198609183151208

Case 37-1986: A 50-Year-Old Woman with Back Pain, Extensive Travel, and Exposure to Farm Animals

Richard C. Cabot, Robert E. Scully, Eugene J. Mark, Betty U. Mcneely, J. H. Maguire, A. E. Rosenberg

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Presentation of Case A 50-year-old woman was admitted to the hospital because of an osteolytic lesion of the spine. She was well until six months earlier, when she experienced the abrupt onset of low-back pain that radiated down the left leg, accompanied by migratory arthralgia involving the ankles, wrists, elbows, shoulders, and right temporomandibular joint; the right elbow and left ankle became swollen. The joint pains subsided after two months, but back pain persisted, shifted to the low dorsal region, and was aggravated by walking. An extensive work-up performed elsewhere revealed that the urine was normal. The hematocrit was 37.

Original language	English (US)
Pages (from-to)	748-754
Number of pages	7
Journal	New England Journal of Medicine
Volume	315
Issue number	12
DOIs	https://doi.org/10.1056/NEJM198609183151208
State	Published - Sep 18 1986
Externally published	Yes

ASJC Scopus subject areas

Medicine(all)

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10.1056/NEJM198609183151208

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title = "Case 37-1986: A 50-Year-Old Woman with Back Pain, Extensive Travel, and Exposure to Farm Animals",

abstract = "Presentation of Case A 50-year-old woman was admitted to the hospital because of an osteolytic lesion of the spine. She was well until six months earlier, when she experienced the abrupt onset of low-back pain that radiated down the left leg, accompanied by migratory arthralgia involving the ankles, wrists, elbows, shoulders, and right temporomandibular joint; the right elbow and left ankle became swollen. The joint pains subsided after two months, but back pain persisted, shifted to the low dorsal region, and was aggravated by walking. An extensive work-up performed elsewhere revealed that the urine was normal. The hematocrit was 37.",

author = "Cabot, {Richard C.} and Scully, {Robert E.} and Mark, {Eugene J.} and Mcneely, {Betty U.} and Maguire, {J. H.} and Rosenberg, {A. E.}",

year = "1986",

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T1 - Case 37-1986

T2 - A 50-Year-Old Woman with Back Pain, Extensive Travel, and Exposure to Farm Animals

AU - Cabot, Richard C.

AU - Scully, Robert E.

AU - Mark, Eugene J.

AU - Mcneely, Betty U.

AU - Maguire, J. H.

AU - Rosenberg, A. E.

PY - 1986/9/18

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N2 - Presentation of Case A 50-year-old woman was admitted to the hospital because of an osteolytic lesion of the spine. She was well until six months earlier, when she experienced the abrupt onset of low-back pain that radiated down the left leg, accompanied by migratory arthralgia involving the ankles, wrists, elbows, shoulders, and right temporomandibular joint; the right elbow and left ankle became swollen. The joint pains subsided after two months, but back pain persisted, shifted to the low dorsal region, and was aggravated by walking. An extensive work-up performed elsewhere revealed that the urine was normal. The hematocrit was 37.

AB - Presentation of Case A 50-year-old woman was admitted to the hospital because of an osteolytic lesion of the spine. She was well until six months earlier, when she experienced the abrupt onset of low-back pain that radiated down the left leg, accompanied by migratory arthralgia involving the ankles, wrists, elbows, shoulders, and right temporomandibular joint; the right elbow and left ankle became swollen. The joint pains subsided after two months, but back pain persisted, shifted to the low dorsal region, and was aggravated by walking. An extensive work-up performed elsewhere revealed that the urine was normal. The hematocrit was 37.

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