Case Challenge #4

  • History: A 21 yo white male presents with recurrent fevers and joint pains. Symptoms started at age 10, and episodes occur every 6 months. Fever episodes last about 2 weeks, associated with periorbital edema and a rash that spreads over his extremities. His father has similar symptoms and also developed renal failure and CHF in his 40s.
  • Physical Exam: Tmax 102.3, periorbital edema, patchy macular rash on extremities


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