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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 345:1119-1124 October 11, 2001 Number 15
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Case 31-2001— A 70-Year-Old Woman with End-Stage Renal Disease and Cutaneous Ulcers
Daniel T. Baran, M.D., and Gary St.A. Letts, M.D.

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Presentation of Case

A 70-year-old woman was admitted to the hospital because of dyspnea and multiple cutaneous ulcers.

The patient had a history of long-standing type 2 diabetes mellitus as well as an old myocardial infarct and a remote history of triple coronary-artery bypass surgery; she also had paroxysmal atrial fibrillation, congestive heart failure, peripheral vascular disease, and end-stage renal disease, which was being treated by peritoneal dialysis. Anticoagulation with warfarin was started six months before admission; the dosage of the drug had not changed recently.

Twenty days before admission, the patient was admitted to another hospital because of areas of cutaneous necrosis . . . [Full Text of this Article]

Differential Diagnosis

Drug Reactions

Circulatory Disorders

Miscellaneous Causes of Cutaneous Ulcers

Calcific Uremic Arteriolopathy

Clinical Diagnosis

Dr. Daniel T. Baran's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References


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