WSI23-111-Case-11

WSI23-111-Case-11

Case #11 - The patient is a 50-year-old female with past medical history significant for Evan's syndrome with subsequent autoimmune anemia and immune thrombocytopenia. She has had longstanding lymphedema as well as deep venous thromboses for which she is on coumadin. She has no history of renal disease. Relevant laboratory results: Creatinine 0.52 mg/dL (reference interval 0.6-1.50 mg/dL), calcium 8.3 mg/dL (reference interval 8.5-10.5 mg/dL), phosphate 3.0 mg/dL (reference interval 2.6-4.5 mg/dL), PTH 47 pg/mL (reference interval 10-60 pg/mL). The lesions initially presented as firm, red indurated lesions which were painful and have progressed to ulcers. She has had prior debridement of the lesions at an outside hospital. Dermatology was consulted to evaluate the lesions (see clinical photograph #11). A punch biopsy is performed.

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December 31, 1969 7:00:00 PM