WSI23-111-Case-17
Case #17 - The patient is a 77-year-old Caucasian female with past medical history significant for cutaneous discoid lupus erythematosus and ventricular tachycardia. She has no history of renal disease or peripheral vascular disease and is not receiving coumadin. She presents for evaluation of a new nodule on lower right leg. Relevant laboratory results: Creatinine 0.84 mg/dL (reference interval 0.6-1.50 mg/dL), calcium 9.4 mg/dL (reference interval 8.5-10.5 mg/dL), phosphate 2.9 mg/dL (reference interval 2.6-4.5 mg/dL), PTH 55 pg/mL (reference interval 10-60 pg/mL). On exam, there is a painful and tender flesh-colored nodule on the right posterior lower leg (see clinical photograph #17 below). A punch biopsy is performed.
17
December 31, 1969 7:00:00 PM
