Solve exciting clinical cases specific to your field of interest via Docplexus` clinical case challenge . In today's ‘ General Medicine Case Challenge’ , join your fellow doctors to discuss and answer an interesting quiz. A 72-year-old woman presented with proximal myalgia and morning stiffness, with an elevated erythrocyte sedimentation rate and clinical picture compatible with polymyalgia rheumatica. Based on this, prednisone therapy (15 mg/d) was initiated, to which she showed a dramatic and complete response within a few hours of the first dose. In addition, one double-strength tablet of trimethoprim-sulfamethoxazole daily was prescribed for Pneumocystis prophylaxis.
She was taking no other medications. Two weeks later, she returns for a follow-up visit. She feels well and has no new symptoms. Her laboratory results are as follows: Laboratory results Hemoglobin Initial: 10.8 g/dL…