Presentation
Entire Body System
- Atrial Septal Defect
The patient had undergone cardiac surgery for pulmonary valve insufficiency, pulmonary stenosis and atrial septal defect when she was fifteen years of age. [ncbi.nlm.nih.gov]
Gastrointestinal
- Right Upper Quadrant Pain
A 62-year-old female presented to our hospital with a complaint of right upper quadrant pain. The patient had undergone cardiac surgery for pulmonary valve insufficiency, pulmonary stenosis and atrial septal defect when she was fifteen years of age. [ncbi.nlm.nih.gov]
Musculoskeletal
- Myalgia
She then presented to our clinic 10 months later, remaining symptomatic with flushing, diarrhea, anxiety, myalgia, pain, and persistent night sweats despite Sandostatin administration. [ncbi.nlm.nih.gov]
Skin
- Night Sweats
She then presented to our clinic 10 months later, remaining symptomatic with flushing, diarrhea, anxiety, myalgia, pain, and persistent night sweats despite Sandostatin administration. [ncbi.nlm.nih.gov]
Workup
HLA Type
- HLA-A2
Pertinent laboratory data were: serum (s)-Fe 148 microg/dl; unsaturated iron binding capacity (UIBC) 14 microg/dl; s-ferritin 9350 ng/ml; human leukocyte antigen (HLA) A2, A24, B39, B55, Cw1, Cw7. [ncbi.nlm.nih.gov]