Our patient's decision to take high-dose prednisone for years for his "gout" (with the inexplicable cooperation of his GP) led to fateful consequences. Learning points for clinicians Iatrogenic harm, which is often drug-induced and preventable, is involved in a substantial percentage of hospital admissions and general practice visits. Chest computed tomography (CT) revealed disseminated nodular infiltrates, and ground-glass opacities.