Name: __________________________________Age: ____Sex ...

She reported allergy to latex, causing swollen lips, tingling around the mouth, wheezing, nasal discharge and contact dermatitis (SIME 0135, 0203, 0214, 0220, 0258). She had a history of arthritis, presumably osteoarthritis, which she treated symptomatically. (SIME 0144, 0160, 0163). ................
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