An uncommon presentation of a common disease

The importance of the history in medicine

Hector I Michelena, Barry J. Wu

Research output: Contribution to journalArticle

Abstract

A 32-year-old recent Russian immigrant, mother of a 20-month-old son, presented with right hip pain. She had a history of peptic ulcer disease and a positive Helicobacter pylori serology. Her pain was not relieved by analgesics. Spine and pelvic films were unremarkable. A bone scan was consistent with metastatic disease. She underwent several diagnostic tests including computed tomography of the chest and abdomen, magnetic resonance imaging of the spine, mammogram, and breast ultrasound. A bone marrow biopsy revealed adenocarcinoma, primary site unknown. An upper endoscopy performed eight weeks after her initial presentation showed an ulcerating gastric carcinoma. She was treated with chemotherapy but died two months after diagnosis. Our patient had an uncommon presentation of a common disease. Recognizing her country of origin, and other risk factors, may have facilitated an earlier diagnosis.

Original languageEnglish (US)
Pages (from-to)135-137
Number of pages3
JournalConnecticut Medicine
Volume64
Issue number3
StatePublished - 2000
Externally publishedYes

Fingerprint

History of Medicine
Spine
Pain
Serology
Peptic Ulcer
Nuclear Family
Routine Diagnostic Tests
Helicobacter pylori
Abdomen
Endoscopy
Analgesics
Hip
Early Diagnosis
Stomach
Adenocarcinoma
Breast
Thorax
Bone Marrow
Tomography
Mothers

ASJC Scopus subject areas

  • Medicine(all)

Cite this

An uncommon presentation of a common disease : The importance of the history in medicine. / Michelena, Hector I; Wu, Barry J.

In: Connecticut Medicine, Vol. 64, No. 3, 2000, p. 135-137.

Research output: Contribution to journalArticle

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