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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 344:443-449 February 8, 2001 Number 6
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Case 4-2001— A 26-Year-Old Man with Pain, Erythema, and Swelling of the Legs
Peter W. Bates, and Eugene J. Mark

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Presentation of Case

A 26-year-old man was admitted to the hospital because of pain, erythema, and swelling of the legs.

The patient had been well until two weeks earlier, when he had had occasional cramps in his thighs while walking. Four days before admission, his left ankle became swollen and painful, even at rest, and there was limitation of motion. Two days before admission, the pain increased and interfered with his ability to walk, and the ankle appeared red. The administration of cephalexin and indomethacin was ineffective. On the day of admission, the right ankle also became painful, erythematous, and swollen.

The patient . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Peter W. Bates's Diagnosis

Pathological Discussion

Anatomical Diagnosis

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