In my practice comes a young colleague with the following history: doctor, 34 years old, married, 2 children, difficult pregnancies (premature labor, bleeding, Nierenaufstau). 2 and 4 years old. Works as a physician in a hospital intensive. In April 2013 influenza with fever and typical symptoms, symptomatic treatment. Persistent fever until May weeks malaise. Sudden loss of hearing re., No tinnitus.
In May 2013 due to malaise idea for internists, as part of the investigations re sonographically incidental finding of a pleural effusion., not puncture worthy. Chest x-ray about two weeks later without evidence of effusion.Since Sept 2013 on both hands on the fingers 1-3 at the end members bloody fissures, also under dermatological treatment with cortisone not better. For weeks, diffuse itching of the skin without visible changes. In 2014 bd eyes, swelling of the eyelids. Corneal opacity.…