All Journals from Pru Evans
A 40 year old previously fit bank executive of Cypriot origin presented to the acute medical take with insidious onset frontal and vertex headaches with features suggesting raised intracranial pressure. He had been under investigation in the outpatient department after developing multiple erythematous lesions on his legs, associated with malaise, occasional mouth ulcers and episodic sweats.
Case Outcome
The patient was anti-coagulated with low molecular weight heparin and then warfarin. He was also commenced on a reducing course of prednisolone. Symptoms and signs resolved within two weeks, and this was accompanied by normalisation of inflammatory markers. He remains clinically well and is now on methotrexate.