Intended for healthcare professionals

Fillers A memorable patient

Repeating the tests

BMJ 1999; 318 doi: (Published 20 February 1999) Cite this as: BMJ 1999;318:526
  1. Edward Lavendar, general practitioner
  1. Kuwait

    Three months ago my patient had a rash on his right lower leg, which was treated initially as fungal without effect, but cleared rapidly after treatment for allergy. Two months ago, he had severe stabbing pains “like glass digging in” on his left inner arm and right shin. These pains got worse, especially at night, and became agonising. One month ago his hands and feet blew up, became red, and subsided with a scaly rash; there was a preceeding sore throat and a raised antistreptolysin O test. He had seen various doctors over the months and had now come to me.

    His medical history included syphilis in the distant past; numerous negative results for VDRL …

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