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Tender Erythema of the Left Lower Extremity—Quiz Case
Katherine Szyfelbein, MD;
Jennifer Y. Lin, MD;
Kirsten S. W. Bellucci, MD;
John M. Williams, MD, PhD
Harvard Medical School (Dr Szyfelbein), Harvard Combined Program in Dermatology (Dr Lin), Brigham and Women's Hospital (Dr Williams), Boston, Mass; and Penn State College of Medicine, Allentown, Pa (Dr Bellucci)
Arch Dermatol. 2007;143(4):535-540.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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REPORT OF A CASE
A 57-year-old woman presented with a 2-week history of a tender, erythematous left leg. Three years earlier, she had undergone right lung transplantation for idiopathic pulmonary fibrosis and was being maintained on a regimen of prednisone, mycophenolate mofetil, and tacrolimus. She had bumped her left foot, with spread of redness and warmth, and eventually developed individual, painful nodules on both of her upper extremities. She had no associated fever, chills, or weight changes but developed progressive shortness of breath.
Physical examination revealed that the distal half of the left lower extremity was diffusely warm and brightly erythematous, with scattered, firm, 1- to 2-cm subcutaneous nodules (Figure 1). Also, there were 2- to 4-cm violaceous, firm nodules on both the right axilla and the left elbow (Figure 2). Biopsy specimens . . . [Full Text of this Article]
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