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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 329:1411-1416 November 4, 1993 Number 19
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Case 44-1993— A 39-Year-Old Man with Fever, Polyarthralgia, and Purpuric Skin Lesions
Peter A. Rice, and Howard Kesselman

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Presentation of Case

A 39-year-old man was admitted to the hospital because of fever, diffuse arthralgia, and purpuric skin lesions.

There was a history of intravenous drug abuse 20 years earlier, during which the patient contracted hepatitis, with jaundice for 1 month. He discontinued the practice soon thereafter. Five years before admission a physician informed the patient that he was a carrier of hepatitis B viral antigen and had thrombocytopenia. Several months before entry he was also told of the presence of antibodies to viral hepatitis C. Microscopical examination of a liver-biopsy specimen at another hospital showed chronic active hepatitis and micronodular cirrhosis . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Peter A. Rice's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Addendum

References




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