Difference between revisions of "WSI23-111-Case-4"
From MGH Learn Pathology
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|performer=RMN6 | |performer=RMN6 | ||
| − | |reasonCode=Case #4 - The patient is a 67-year-old male with past medical history significant for type II diabetes mellitus complicated by end-stage renal disease on maintenance peritoneal dialysis, presenting for initial evaluation of painful right leg lesions. Relevant laboratory results: Creatinine 10.74 mg/dL (reference interval 0.6-1.50 mg/dL), calcium 9.4 mg/dL (reference interval 8.5-10.5 mg/dL), phosphate 5.4 mg/dL (reference interval 2.6-4.5 mg/dL), PTH 230 pg/mL (reference interval 10-60 pg/mL). He has been treated in past for stasis dermatitis and cellulitis without resolution of his symptoms. On exam, there is a tender right shin lesion with brawny induration and no evident purpura; the lower medial calf shows dusky discoloration (see clinical photograph #4 | + | |reasonCode=Case #4 - The patient is a 67-year-old male with past medical history significant for type II diabetes mellitus complicated by end-stage renal disease on maintenance peritoneal dialysis, presenting for initial evaluation of painful right leg lesions. Relevant laboratory results: Creatinine 10.74 mg/dL (reference interval 0.6-1.50 mg/dL), calcium 9.4 mg/dL (reference interval 8.5-10.5 mg/dL), phosphate 5.4 mg/dL (reference interval 2.6-4.5 mg/dL), PTH 230 pg/mL (reference interval 10-60 pg/mL). He has been treated in past for stasis dermatitis and cellulitis without resolution of his symptoms. On exam, there is a tender right shin lesion with brawny induration and no evident purpura; the lower medial calf shows dusky discoloration (see clinical photograph #4). A punch biopsy is performed. |
|supportingInfo=4 | |supportingInfo=4 | ||
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|modality=mrxs | |modality=mrxs | ||
|identifier=45f299e9-f4ed-4aad-b2ef-57093cb427ba | |identifier=45f299e9-f4ed-4aad-b2ef-57093cb427ba | ||
| + | }} | ||
| + | {{status | ||
| + | |status=active | ||
| + | |requester=Em99 | ||
| + | |authoredOn=August 03, 2023 11:07:40 AM | ||
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Latest revision as of 15:43, December 9, 2024
