A 42-Year-Old Office Assistant With Chronic Leg and Back Pain

John G. Christensen, Jr, MD


March 05, 2021

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A 42-year-old woman presents with a history of chronic leg and lower back pain lasting several years. She has no history of flank pain or gross or microscopic hematuria. She does not report any fevers, appetite loss, weight loss, or obesity.

She is a nonsmoker and drinks a glass of wine with dinner 2-3 nights a week. She works as an office assistant and is not exposed to any solvents or chemicals. Her medical history is free of chronic illness, and she has no family history of renal tumors, skin lesions, seizures, or cognitive delay.


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