Case 19-1982

Presentation of CaseA 31-year-old woman was admitted to the hospital because of the abrupt development of proteinuria and edema.There was a history of chronic anemia and recurrent oral ulceration since childhood. Eleven years before entry, after the resection of cervical ribs, she had several episodes of recurrent phlebitis that affected both arms and legs and was treated with anticoagulant medication. During the 10 years before admission patchy alopecia developed. Six years before entry nonspecific proctitis occurred. Forty-four months before admission she experienced the sudden onset of pain and weakness in the shoulders and knees. She entered another hospital, . . .