A case of sarcoidosis In May 2000, a 30-year old nurse presented at the Central Chest Clinic, Colombo, with progressive shortness of breath and a non-productive cough of 6 months' dura tion. She had been extensively investigated in 1999 for pyrexia of unknown origin at the National Hospital of Sri Lanka. Clinical examination at the time showed hepatosplenomegaly. The chest radiograph did not show any abnormality at this stage. Blood cultures and thick films for malarial parasites were repeatedly negative, as was the tuberculin test. The fever spontaneously subsided and she was discharged.
A 65-year old man on treatment for ischaemic heart disease presented with a history of pain and weakness of all four limbs and dry mouth. He had clinical and neurophysiological features of Lambert-Eaton myasthenic syndrome. His symptoms improved after withdrawal of diltiazem, although neurophysiological changes remained even after 3 months.
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