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Case 5 

Case 5
Case 5

Joel David

, Anne Miller

, Anushka Soni

, and Lyn Williamson

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date: 12 July 2020

A 76-year-old retired general practitioner presented to the rheumatology department with polyarthritis which had developed insidiously over the previous 18 months. He was a lifelong asthmatic with a 10-year history of hypertension, a heavy smoker, and a heavy social drinker. He took diclofenac, enalapril, and prednisolone 5 mg daily, and used salbutamol and beclometasone inhalers. He admitted to self-medicating with oral steroids for most of his life to control his chest symptoms.

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