WSI23-111-Case-10

WSI23-111-Case-10

Case #10 - The patient is a 44-year-old male with multiple sclerosis on fingolimod and steroids and worsening depression who is admitted for evaluation of AMS in setting of prolonged seizure. His hospital course complicated by acute hypoxemic respiratory failure, pulmonary emboli, and sepsis. Relevant laboratory results: Creatinine 1.16 mg/dL (reference interval 0.6-1.50 mg/dL), calcium 8.2 mg/dL (reference interval 8.5-10.5 mg/dL), phosphate 3.3 mg/dL (reference interval 2.6-4.5 mg/dL). PTH was not determined. Dermatology is consulted to evaluate a blistering rash on the back (see clinical photograph #10). A punch biopsy is performed.

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December 31, 1969 7:00:00 PM