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  Vol. 132 No. 1, January 1996 TABLE OF CONTENTS
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Acute Onset of Bilateral Hemorrhagic Leg Lesions

Nancy S. House, MD; Klaus F. Helm, MD; James G. Marks, Jr, MD

Arch Dermatol. 1996;132(1):83-84.

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 white man was admitted to the hospital with a diagnosis of pulmonary embolus. He had a 1-month history of dyspnea, productive cough, and fevers as well as pleuritic chest pain for 1 day. He had a history of chronic lymphocytic leukemia, hypertension, peripheral vascular disease, autoimmune hemolytic anemia, and non— insulin-dependent diabetes mellitus. His immunosuppressive medications included chlorambucil (10 mg/d) and prednisone (50 mg/d). On admission, he was afebrile, and his skin examination was unremarkable. The chest radiograph showed consolidation of the lateral segment of the right middle lobe. Gram's stain of his sputum revealed gram-positive cocci (3 + ) and a few neutrophils and epithelial cells, but the culture yielded only normal throat flora. Blood cultures were drawn on admission as part of his evaluation for pneumonia and were sterile. A ventilation-perfusion lung scan was performed and indicated that there was a high probability of . . . [Full Text PDF of this Article]


Author Affiliations

The Pennsylvania State University, Hershey



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