Ronald J. Scheff, MD; Arturo R. Rolla, MD
To the Editor: A 57-year-old woman presented with a 1-week history of severe bilateral scalp pain that made her unable to comb her hair or place her head on a pillow. She also had a 3-week history of neck and bilateral shoulder and thigh myalgias, intermittent dry cough, dyspnea on exertion, fatigue, and low-grade fever.
The initial diagnosis was temporal arteritis-polymyalgia rheumatica; however, her erythrocyte sedimentation rate was 32 mm/h. Her leukocyte count was 8800/mm3 with 44% eosinophils. She also had a mild increase in serum LDH and transaminases, with normal alkaline phosphatase and creatine kinase levels.
The physical examination
Scheff RJ, Rolla AR. The Eosinophilia-Myalgia Syndrome. Ann Intern Med. 1990;112:964. doi: 10.7326/0003-4819-112-12-964_2
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Published: Ann Intern Med. 1990;112(12):964.
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