TM85 #ACR23 @RheumNow IPF s/p lung transplant p/w diffuse bone pain Exam: no synovitis, +crackles. Labs: ALP 203 CT che
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TM85 #ACR23 @RheumNow
IPF s/p lung transplant p/w diffuse bone pain
Exam: no synovitis, +crackles. Labs: ALP 203
CT chest: stable mycetoma
Xray: periosteal reaction
Dx: vericonazole periosititis
Positive Mucorales PCR, fluoride level 19 (ref <4)
Bone pain improved stopping voric https://t.co/Gt8mOAssvh
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