WSI23-111-Case-5

WSI23-111-Case-5

Case #5 - The patient is a 77-year-old female with a history of cervical and anal cancers treated with surgery, chemotherapy, and radiation. She is presenting with chief complaint of redness and lymphedema of the left thigh. Relevant laboratory results: Creatinine 0.72 mg/dL (reference interval 0.6-1.50 mg/dL), calcium 9.1 mg/dL (reference interval 8.5-10.5 mg/dL. Phosphate and PTH were not determined. On exam, there is a non-blanching rash on the left thigh with stellate borders consistent with retiform purpura. Per dermatologist's note, there is no evidence of cellulitis on exam. The appearance of the rash raises concern of vasculopathy (see clinical photograph #5). A punch biopsy is performed.

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December 31, 1969 7:00:00 PM