56-Year-Old Man With Abdominal Pain and Dyspnea

A 56-year-old man presented with abdominal pain, dyspnea, and back pain. His medical history included eosinophilic fasciitis and chronic abdominal pain. Several months previously, he was diagnosed elsewhere as having deep morphea with features of eosinophilic fasciitis and idiopathic thrombocytopenic purpura (ITP), initially treated with prednisone, 70 mg/d for 2 weeks. However, his platelet count decreased from 51 to 29  × 109/L (reference range, 150-450 × 109/L). Given the inadequate response, he subsequently received rituximab for 8 weeks.

Source: Mayo Clinic Proceedings - February 6, 2019 Category: Internal Medicine Authors: Manuel B. Braga Neto, Paul V. Viscuse, Karna K. Sundsted Tags: Residents ’ clinic Source Type: research