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Postgraduate Education Corner |

A 64-Year-Old Man With Joint Swelling and an Abnormal Chest Radiograph*

Amen Sergew, MD; Daniel Merrick, MD; Edward D. Chan, MD
Author and Funding Information

*From the Division of Pulmonary Sciences and Critical Care Medicine (Drs. Sergew and Chan), and the Department of Pathology (Dr. Merrick), University of Colorado at Denver Health and Sciences Center, Denver, CO.

Correspondence to: Amen Sergew, MD, Box C272, Division of Pulmonary and Critical Care Medicine, University of Colorado Health Sciences Center, 4200 E Ninth Ave, Denver, CO 80262; e-mail: amen.sergew@uchsc.edu


Chest. 2008;133(3):805-808. doi:10.1378/chest.07-2062
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A 64 -year-old man presented with a 2-month history of swelling in his knees, ankles, hands, and feet. He had an 8-lb weight loss over a few months. He denied experiencing any fevers, chills, night sweats, or morning stiffness. He admitted to fatigue, but denied experiencing myalgias, weakness, vision changes, or oral lesions. He also denied respiratory symptoms. His medical history included eczematoid dermatitis for which he was prescribed prednisone, 10 mg daily, and phototherapy. He was a lifetime nonsmoker, worked as a brake mechanic, and had done no recent traveling.

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