Case 44-1988: A 25-Year-Old Man with Multiple Bone Lesions, Hilar Lymphadenopathy, and a Pericardial Effusion

Richard C. Cabot, Robert E. Scully, Eugene J. Mark, William F. McNeely, Betty U. McNeely, Henry J. Mankin, Andrew E. Rosenberg

Research output: Contribution to journalArticlepeer-review

Abstract

Presentation of Case A 25-year-old man was admitted to the hospital because of mediastinal, hilar, and subcarinal lymphadenopathy and a pericardial effusion. He was well until six months earlier, when pain and stiffness developed in his neck and a physician prescribed a soft cervical collar. X-ray films of the cervical spine showed evidence of muscle spasm and were otherwise normal. The symptoms improved greatly, but he began to experience numbness of the left forearm and to have a nonproductive cough. Four months before entry fleeting chest pains developed, and an x-ray film of the chest, obtained elsewhere, was reported to.

Original languageEnglish (US)
Pages (from-to)1209-1216
Number of pages8
JournalNew England Journal of Medicine
Volume319
Issue number18
DOIs
StatePublished - Nov 3 1988
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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