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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
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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