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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
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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