WSI23-111-Case-12

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WSI23-111-Case-12
Case #12 - The patient is a 35-year-old female with past medical history significant for active intravenous drug use, hepatitis C infection (previously treated and now re-infected). She has no history of renal disease or peripheral vascular disease. She presents for evaluation of chronic and new lower extremity wounds. Relevant laboratory results: Creatinine 0.78 mg/dL (reference interval 0.6-1.50 mg/dL), calcium 10.0 mg/dL (reference interval 8.5-10.5 mg/dL). Phosphate and PTH were not determined. On exam there is palpable purpura and ulceration (see clinical photograph #12). A punch biopsy is performed.
12
December 31, 1969 7:00:00 PM