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10.1136/bcr-2014-207778 http://scihub22266oqcxt.onion/10.1136/bcr-2014-207778 C4488709!4488709!26123453     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       BMJ+Case+Rep 2015 ; 2015 (ä): ä Nephropedia Template TP {{tp|p=26123453|t=2015. Is this still just sarcoidosis, or should we a-DRESS a different diagnosis?|pdf=|usr=}}{{26123453}} gab.com Text Is this still just sarcoidosis, or should we a-DRESS a different diagnosis JO: BMJ Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=26123453 #FOAvip An Afro-Caribbean woman presented with worsening breathlessness, weight loss, lethargy and fevers, developing a bilateral florid erythematous rash on her legs. She was recently diagnosed with rheumatoid arthritis and bilateral hilar lymphadenopathy was found on thoracic CT imaging. She was tachycardic and investigations revealed pancytopenia, eosinophilia, raised serum ACE, acute kidney injury and deranged liver function tests. Biopsy of the lymphadenopathy revealed mixed lymphoid cells and liver biopsy revealed extramedullary haematopoiesis, with hypercellular marrow found on bone marrow biopsy. Cardiac MRI was normal, excluding cardiac sarcoid. The patient developed status epilepticus and phenytoin was started. She subsequently developed skin desquamation, in keeping with toxic epidermal necrosis. Skin biopsies revealed atypical granulomas and multinucleated giant cells, which subsequently resolved on steroid treatment. This case highlights an overlap syndrome, with an unclear diagnosis between sarcoidosis, drug reaction or rash with eosinophilia and systemic symptoms and/or hypereosinophilic syndrome and Still's disease. Hence varied serological and clinical features can complicate the distinction between diagnoses. Twit Text FOAVip Is this still just sarcoidosis, or should we a-DRESS a different diagnosis ????BMJ Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=26123453 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26123453 #FOAvip English Wikipedia <ref>{{Cite pmid|26123453}}</ref> Is this still just sarcoidosis, or should we a-DRESS a different diagnosis? #MMPMID26123453 Rolls S; Hyams C; Sheaff M; O'Shaughnessy TC BMJ Case Rep 2015[]; 2015 (ä): ä PMID26123453show ga An Afro-Caribbean woman presented with worsening breathlessness, weight loss, lethargy and fevers, developing a bilateral florid erythematous rash on her legs. She was recently diagnosed with rheumatoid arthritis and bilateral hilar lymphadenopathy was found on thoracic CT imaging. She was tachycardic and investigations revealed pancytopenia, eosinophilia, raised serum ACE, acute kidney injury and deranged liver function tests. Biopsy of the lymphadenopathy revealed mixed lymphoid cells and liver biopsy revealed extramedullary haematopoiesis, with hypercellular marrow found on bone marrow biopsy. Cardiac MRI was normal, excluding cardiac sarcoid. The patient developed status epilepticus and phenytoin was started. She subsequently developed skin desquamation, in keeping with toxic epidermal necrosis. Skin biopsies revealed atypical granulomas and multinucleated giant cells, which subsequently resolved on steroid treatment. This case highlights an overlap syndrome, with an unclear diagnosis between sarcoidosis, drug reaction or rash with eosinophilia and systemic symptoms and/or hypereosinophilic syndrome and Still's disease. Hence varied serological and clinical features can complicate the distinction between diagnoses. äIs this still just sarcoidosis, or should we a-DRESS a different diagn(epmc).pdf DeepDyve Pubget Overpricing