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 Best of Five 2.55

 

   

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BOF: 2.55

A 67-year-old male from Thailand was admitted with a history of severe crushing central chest pain. His ECG showed ST elevation in the anterior chest leads and he was treated with tPA, which resulted in resolution of the ECG changes.

Over the next few days he had several episodes of pulmonary oedema, his blood pressure began to rise and he was noted to have a petechial rash over his feet.

His renal function began to deteriorate and he was ultimately commenced on haemodialysis. His blood tests showed an elevated eosinophil count of 1.13◊109/l (normal range <0.40)

In this patient underlying condition is:

a)      Polyarteritis nodosa

b)      Henoch-Schonlein purpura

c)      Cholesterol embolisation syndrome

d)      Beurgerís disease

e)      Tropical pulmonary eosinophilia

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