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COL Richard H. Gentry, MC; LTC James E. Fitzpatrick, MC

Arch Dermatol. 1990;126(6):819-820.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

REPORT OF A CASE

A 63-year-old man was referred to the dermatology clinic for evaluation of a "peculiar bruise" on his left thigh. The patient had well-controlled insulin-dependent (20 U of insulin suspension, isophane, each morning) diabetes. He had been in good health until 4 PM the preceding day, when he noted a small blister on the medial aspect of his thigh. There was no history of trauma or insect bite. The lesion rapidly enlarged over the next few hours. The patient developed nausea and malaise that evening, but no chills, fever, or vomiting.

Ten hours after the onset of the lesion the patient went to the emergency department, where he was noted to have a large bruise. Results of laboratory tests performed during this visit were as follows: hemoglobin level, 141 g/L; hematocrit, 0.42; and white blood cell count, 16.0 x 10⁹/L, with 0.60 neutrophils, 0.31 band cells . . . [Full Text PDF of this Article]

Author Affiliations
USA; USA Fitzsimons Army Medical Center, Aurora, Colo

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