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Progrssive painful hyperpigmented lesions in lower legs

Discussion in 'Spot Diagnosis' started by Mdhardcorez, Feb 18, 2014.

  1. Mdhardcorez

    Mdhardcorez Well-Known Member

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    All cases posted by me are the actual cases seen in hospital.

    Clinical hx: Previously healthy of unknown PMH 34yr old AAM presented w progressive lower leg painful superficial hyper-pigmentation. One ulceration was noted to have non-purulent drainage.

    Biopsy done; results pending. Common lab panels show WBC 10k Hgb 10, Hct 28, platelet 285. Electrolyte grossly NL except BUN 50 and CRE 9.

    Specialty labs including vasculitic panels pending.

    I think without clinical history, you will find it VERY difficult.

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    Last edited: Feb 19, 2014

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    Should have read the history properly,I missed it out!
     

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