Skip to main content
Device Global Header

Subscribe
or Renew

Advanced Search

This article is available to subscribers. Subscribe now. Already have an account? Sign in

Case Records of the Massachusetts General Hospital

Case 37-2012 — A 21-Year-Old Man with Fevers, Arthralgias, and Pulmonary Infiltrates

List of authors.
  • Lisa Christopher-Stine, M.D., M.P.H.,
  • Dwight R. Robinson, M.D.,
  • Carol C. Wu, M.D.,
  • and Eugene J. Mark, M.D.

A 21-year-old man presented with fever, arthralgias, dyspnea, and periorbital swelling. Examination revealed periorbital edema and erythema. Chest CT revealed bilateral subpleural reticular and ground-glass opacities. Diagnostic tests and a diagnostic procedure were performed.

Continue reading this article

Select an option below:

Create your account to get 2 free subscriber-only articles each month.

Get Free Access Now Subscribe For Full Access

Already have an account?

Sign In

Print subscriber?

Activate your online access.

Funding and Disclosures

This case was discussed at Medical Grand Rounds.

Dr. Christopher-Stine reports receiving consulting fees from Biogen Idec, Medimmune, Novartis, Questcor, and URL; providing expert testimony on behalf of patients and providers in cases of myositis; submitting a patent application together with her institution for anti–HMG-CoA reductase autoantibody enzyme-linked immunosorbent assay and immunoprecipitation; receiving travel expenses from Crescent Health Care; and receiving payment for manuscript preparation from Year Book of Medicine. Dr. Mark reports providing expert testimony on behalf of patients who believe they have been harmed by exposure to asbestos. No other potential conflict of interest relevant to this article was reported.

Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.

We thank Drs. John H. Stone and Lloyd Axelrod (Medicine) and Dr. Mandakolathur R. Murali (Medicine and Pathology) for assistance with the conference.

Author Affiliations

From the Departments of Medicine and Neurology, Johns Hopkins University School of Medicine, Baltimore (L.C.-S.); and the Division of Rheumatology, Allergy, and Immunology (D.R.R.) and the Departments of Radiology (C.C.W.) and Pathology (E.J.M.), Massachusetts General Hospital; and the Departments of Medicine (D.R.R.), Radiology (C.C.W.), and Pathology (E.J.M.), Harvard Medical School — both in Boston.

Print Subscriber? Activate your online access.