WSI23-111-Case-15
Case #15 - The patient is a 69-year-old female with past medical history significant for metastatic pancreatic adenocarcinoma and type II diabetes mellitus. She has no history of renal disease or peripheral vascular disease. She is not receiving coumadin. She presents with chief complaint of new thigh lesions present for the last 6 weeks. Relevant laboratory results: Creatinine 0.60 mg/dL (reference interval 0.6-1.50 mg/dL), calcium 9.0 mg/dL (reference interval 8.5-10.5 mg/dL). Phosphate and PTH were not determined. On exam, she has tender purpuric subcutaneous nodules on bilateral medial thighs (see clinical photograph #15 below). A punch biopsy is performed.
15
December 31, 1969 7:00:00 PM
