The respiratory case that I had in UK was rheumatoid lung disease. I got no problem in detecting the clubbing and fine inspiratory crepitations bibasally. But, the outcome was 2/2!
Pitfall: I failed to identify the underlying cause for fibrosing alveolitis. I missed out the obvious sign i.e. Rheumatoid hand changes!
The moral of the story to learn is ALWAYS look for the underlying cause for fibroising alveolitis as cryptogenic fibrosing alveolitis is RARE for PACES!
Face: malar rash (SLE)
telangiectasia, beak nose, microstomia (scleroderma)
facial pigmentation (amiodarone)
heliotrope rash (dermatomyositis)
Hand: RA, sclerodactyly
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