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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 328:1337-1343 May 6, 1993 Number 18
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Case 18-1993— A 57-Year-Old Man with Chronic Lymphedema and Enlarging Purple Cutaneous Nodules of the Leg
Joop M. Grevelink, and Andrew E. Rosenberg

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Presentation of Case

A 57-year-old man was admitted to the hospital because of reddish-purple lesions on the right lower extremity.

The patient had been well until the age of 38 years, when he felt a mass in the right inguinal region. Two years later the mass increased slightly in size, and warmth and erythema developed about it, with a rise in the temperature to 39.9 °C. The patient was admitted to the hospital, where physical examination showed a mass, 12.7 by 10 cm, in the right inguinal region. Cephalexin was administered by vein, with prompt resolution of the fever, local swelling, and erythema. . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Joop M. Grevelink's Diagnosis

Pathological Discussion

Anatomical Diagnosis

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