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Case 27 

Case 27
Chapter:
Case 27
Author(s):

Joel David

, Anne Miller

, Anushka Soni

, and Lyn Williamson

DOI:
10.1093/med/9780199587506.003.0027
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date: 21 August 2019

A 26-year-old woman, who had been working part-time as a waitress and training to be a beauty therapist, was referred to the rheumatology outpatient department with severe pain and weakness in her legs. The patient stated that her leg symptoms occurred as a result of a fall at her workplace 6 months previously when she slipped on wet tiles in the restaurant. There was initial bruising of her left calf and thigh. Her employers were not sympathetic, denying that the floor was wet. She was in the process of taking legal action against them. She had not been able to work since because her legs were too painful; her mobility was severely affected and she was confined to her home. Her parents were present during the consultation and they provided the history. The patient was tearful and did not say very much, but complained of fatigue and pain. There was no past medical history apart from migraines and dysmenorrhea.

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