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Shoulder pain in smokers could be a life changer
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Case history
A 51-year-old Saudi man presented to us with a 4-week history of right shoulder and chest pain radiating to the back. He also had distal and proximal muscle weakness of the right upper limb.
He is a chronic smoker for 40 years, about three packs per day. His lifetime exposure to tobacco was 120 pack years. He lost about 3 kg in the last 1 week. There was no history of cough or shortness of breath or fever with night sweats.
He had a history of pulmonary tuberculosis 28 years ago and taken complete treatment for 1 year.
On examination, there was ptosis, enophthalmos, …