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Dense bones

Department of Radiology, St George's Hospital, Blackshaw Road, London SW17, UK ^* Department of Infectious Diseases, St George's Hospital, Blackshaw Road, London SW17, UK

This excerpt was created in the absence of an abstract.

A 39-year-old Asian woman was investigated for a 4 year history of generalized aches and pains and more recent malaise, fevers and cervical adenopathy. On admission, her erythrocyte sedimentation rate (ESR) was 62 and there was a mild polyclonal gammopathy. Mantoux and Kveim tests were negative and screening cultures of urine and sputum (including for acid and alcohol fast bacilli) were also negative. The chest radiograph is shown in Fig. 1. At this time, radiographs of the skull, pelvis and hands were normal.

The patient received a 6 month trial of antituberculous chemotherapy, but this resulted in minimal symptomatic improvement and her lymphadenopathy persisted.

Received for publication June 3, 1991. Accepted for publication July 2, 1991.