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Surprise Attack

Sometimes the immune system turns on its host

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Mrs. Wong opened her mouth and moved her tongue to the side. Along its edge, I saw a huge ulcer, pearly bordered and angry as a brazier's mark. She spoke only Cantonese. "Veddy pain," she said, "veddy pain."

Her daughter took over. "She saw the doctor yesterday. He gave her medicine here," she said, cradling her mother's right hand to show the vein where the IV had gone in. "But the bumps on her legs keep getting bigger." She lifted her mother's skirt. A half dozen red, raised lesions the size of small grapes studded Mrs. Wong's thighs. I pressed gently to confirm the soft give of an abscess. I felt none.

"Fever?" I asked.

"Sometimes," the daughter replied.

"The bumps. How long?"

"Two, three weeks." She pointed again to her mother's mouth. "She cannot eat."

"The sores in the mouth and the bumps on the legs, they came together?"

...

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