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Case Records of the Massachusetts General Hospital
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Volume 356:1049-1057 March 8, 2007 Number 10
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Case 7-2007 — A 59-Year-Old Woman with Diabetic Renal Disease and Nonhealing Skin Ulcers
Hasan Bazari, M.D., Michael R. Jaff, D.O., Michael Mannstadt, M.D., and Shaofeng Yan, M.D., Ph.D.

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Presentation of Case

Dr. Maha R. Farhat (Medicine): A 59-year-old woman was admitted to the hospital because of a nonhealing ulcer on the right heel and painful ulcers on the right thigh and hip.

The patient had been morbidly obese since early childhood; she had had type 2 diabetes mellitus and hypertension for 30 years and chronic renal insufficiency for 6. Painless ulcers had developed on the plantar surfaces of both heels 6 years earlier; those on the left side had healed with wound care and decreased weight bearing, but those on the right recurred when she resumed weight bearing. Four years before . . . [Full Text of this Article]

Differential Diagnosis

Ulcers on the Legs and Feet

Vascular and Thrombotic Diseases

Neuropathic Ulcers

Infections

Other Disorders

Calciphylaxis

Diagnosis of Calciphylaxis

Summary

Clinical Diagnosis

Dr. Hasan Bazari's Diagnosis

Pathological Discussion

Discussion of Management

Anatomical Diagnosis


Source Information

From the Department of Medicine (H.B.), the Departments of Cardiology and Vascular Surgery (M.R.J.), the Endocrine Unit (M.M.), and the Department of Pathology (S.Y.), Massachusetts General Hospital; and the Departments of Medicine (H.B., M.R.J., M.M.) and Pathology (S.Y.), Harvard Medical School.


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