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Announcement - To visit The Association of Physicians of India – Tamilnadu State Chapter –Click Here.

We are pleased to announce the MIDTAPICON Clinical Edge 2026 – More details

Announcement - To visit The Association of Physicians of India – Tamilnadu State Chapter –Click Here.

We are pleased to announce the MIDTAPICON Clinical Edge 2026 – More details

The Journal of the Association of
Physicians of Tamil Nadu

JAPTN

The Journal of the Association of
Physicians of Tamil Nadu

JAPTN

The Journal of the Association of
Physicians of Tamil Nadu

JAPTN

Home › Articles › Volume 4, Issue 3 › Learning from Unusual Causes and Think Out of Box Sc...
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Case Report

Learning from Unusual Causes and Think Out of Box Scenarios

Volume 4, Issue 3, Pages 57-59

Authors

Subramanian NallasivanAsset 1✲, Radhikagowri ThangaveluAsset 1
Affiliation:
Consultant Rheumatologist, Rosemary Mission Hospital, Tirunelveli.
Velammal Medical College Hospital and Research Institute, Madurai, Tamil Nadu, India.
Specialist Consultant in OBG, Department of Obstetrics and Gynecology, ESIC Hospital, Tirunelveli, India.
Corresponding Author Email[✲]:
drsubramanian14@gmail.com

Corresponding Author

Subramanian Nallasivan

Abstract

Rheumatological diseases are multi systemic in nature and syndromic approach will help to elucidate the cause. Unusual manifestations and orphan diseases do get referred to rheumatologists and when we evaluate these diseases it’s important to also think out of the box scenarios. Here I would like to share these 3 cases with learning points that would help physicians to remember when dealing with similar unusual manifestations in clinical practice. Postgraduates during their 3 year training period should get exposed to all complex and rare manifestations of common and orphan diseases and hence it’s imperative for the budding physicians to learn and keep in memory.

Keywords

Deep Vein Thrombosis, Cavity in Lung, Spondyloarthritis, Occult Malignancy.

Open Access

This is an open access article distributed under the CC BY 4.0 license

https://creativecommons.org/licenses/by/4.0/

Copyright

© 2026 Association of Physicians of India-Tamilnadu State Chapter. Published by Dr. Vijay Viswanathan

Cite this Article

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                                            Journal
                                            The Journal of the Association of Physicians of Tamil Nadu
                                        

                                        

                                            Volume
                                            Volume 4
                                        

                                        

                                            Issue
                                            Issue 3
                                        

                                        

                                            Year
                                            2025
                                        

                                    

                                

                            

                        

                    

                

                
                
                
                
                
                

                    

                        
                        

                            
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