Dr Spur’s mystery case : the case of asthma, autoimmunity and an unexpected diagnosis

Abstract

Thank you for seeing this 27-year-old woman referred from my practice for recurrent lower respiratory tract infections, chronic sinusitis and worsening eczema. Her main complaints are fatigue, weight loss and joint stiffness over the past year. She was previously diagnosed with asthma (due to persistent wheeze since adolescence), autoimmune thyroiditis and a psoriasis/eczema overlap. Her family history is notable for the death of a sibling in early childhood from pneumonia.