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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. [download-attachments container="div" style="list" dipslay_icon="1" display_count="1" display__size="0"]

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Picture Quiz: Answer

9th March 2016
Authors Affiliations
Dalia Khan MRCP Department of Acute Medicine, Milton Keynes General Hospital, Milton Keynes, UK
Rohan Sajeev Wijesurendra MRCP Department of Cardiovascular Medicine, John Radcliffe Hospital, Oxford, UK
Melanie Orchard BM BCh Department of Medicine, Royal Berkshire Hospital, Reading, UK
Pru Evans FRCR Department of Radiology, Milton Keynes General Hospital, Milton Keynes, UK
Richard William Smith FRCP Department of Acute Medicine, Milton Keynes General Hospital, Milton Keynes, UK

Picture Quiz: Answer

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