Abstract
The patient was a 48-year-old woman admitted to the intensive care unit for respiratory failure, hemoptysis, and acute renal failure. Of note, there was a 2 month history of odynophagia, aphonia, fluctuating bilateral conjunctival injection, joint and muscle pain, and low-grade fever, together with an episode of chondritis of the pinna of the left ear and the appearance of asymptomatic skin lesions.
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