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Previous Volume 353:2384 December 1, 2005 Number 22 Next

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View larger version (44K): [in this window] [in a new window]   A 71-year-old man was evaluated for severe anemia (hemoglobin level, 7.1 g per deciliter; mean corpuscular volume, 106 µm3), extensive ecchymosis of the lower limbs (Panel A), gingivitis, and hemorrhages of the oral cavity (Panel B, arrows). There was no history of recent trauma. What is the diagnosis? Editor's note: We invite our readers to submit their answers at www.nejm.org/mystery. We will publish the diagnosis in the Correspondence section of the January 26, 2006, issue and e-mail it to everyone who submits an answer. All answers must be received by December 15, 2005.

 

Denis Mulleman, M.D.
Philippe Goupille, M.D.
François Rabelais University
37032 Tours CEDEX 1, France

Related Letters:

Medical Mystery: Extensive Ecchymosis — The Answer
Mulleman D., Goupille P.
Extract | Full Text | PDF  
N Engl J Med 2006; 354:419-420, Jan 26, 2006. Correspondence

This article has been cited by other articles:

• Mulleman, D., Goupille, P. (2006). Medical Mystery: Extensive Ecchymosis -- The Answer. NEJM 354: 419-420 [Full Text]