CASE RECORDS OF THE MASSACHUSETTS GENERAL HOSPITAL: Case 36-2008 -- A 59-Year-Old Man with Chronic Daily Headache

Published November 19, 2008, 2:35 pm, New England Journal of Medicine

A 59-year-old man was admitted to this hospital with a 6-month history of chronic daily headache, fever, and myalgia. Dry mouth, polydipsia and polyuria, and pain in the jaws on chewing developed. Neuroimaging studies showed diffuse thickening and enhancement of the dura, extending to the pituitary stalk. Computed tomography revealed calcified nodules in the lungs and spleen. A diagnostic ...

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