A 40-year-old woman presented with multiple symptoms that had developed over the course
of 1 year. These included weight loss, diffuse bone pain, “foamy” urine, and multiple,
painful, scattered, cutaneous lesions that had first appeared 2 months earlier. An
uncomfortable skin rash was tied to a separate, and very serious, underlying disease.
The patient's occupation prior to retiring was tiling floors. Her past medical history
was notable only for hypertension.
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Article info
Publication history
Published online: May 02, 2018
Accepted:
April 12,
2018
Received in revised form:
April 12,
2018
Received:
January 30,
2018
Uma Paniker, MD, Section EditorFootnotes
☆Funding: None.
✰✰Conflicts of Interest: None.
✰Authorship: All authors had access to the data and a role in writing this manuscript.
✰Requests for reprints should be addressed to Eric K. Singhi, MD, Department of Medicine, Vanderbilt University Medical Center, 1161 21st Ave South, D3100 MCN, Nashville, TN 37232.
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.
