Feet First

“It is much more important to know what sort of a patient has a disease than what sort of a disease a patient has.” - Sir William Osler

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    Wednesday, July 07, 2004

    Last week I saw a patient who was complaining of general pain on the left side of her body, but more particularly of pain in the hands and wrists. No pain in the feet. She felt generally unwell. On a hunch, I checked titers for parvovirus - and hit the jackpot! Her IgM (acute antibody titer) was through the roof.

    I see a case like this about every one to two years. It's satisfactory because you can put a name to the problem and reassure the patient that the symptoms will go away and they're going to be fine.



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