From the *Rheumatology Department Cairns Hospital;
†Respiratory Department, Cairns Hospital Cairns Hospital ; and
‡James Cook University, College of Medicine and Dentistry, Cairns, Queensland, Australia.
Conflicts of interest and sources of funding: none declared.
Ethics: Given the signed patient consent, ethics approval was agreed unnecessary by the local Human Research Ethics Committee.
Patient consent: Consent to publish this material was obtained.
Contributions: K.A. reviewed the literature, wrote and revised the paper, and asked consent from the patient. D.J. and D.B. reviewed the case.
Correspondence: Kisoth Arasaratnam, MBBS, Rheumatology Department, Cairns Hospital, PO Box 902, Cairns, Queensland, Australia 4870. E-mail: firstname.lastname@example.org.