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Severe hypercalcemia as a presenting sign of systemic lupus erythematosus

✍ Scribed by Raymond Farah; Rola Farah; Nicola Makhoul


Book ID
116431562
Publisher
Elsevier Science
Year
2006
Tongue
English
Weight
72 KB
Volume
17
Category
Article
ISSN
0953-6205

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We recently examined a patient who presented clinically with tender, erythematous papules associated with a febrile illness and polyarthralgias. Histopathological examination revealed extravascular palisaded neutrophilic granulomas, a skin reaction pattern originally described in Churg-Strauss disea