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A correction has been published: N Engl J Med 1993;328(23):1724.

Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 328:121-128 January 14, 1993 Number 2
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Case 2-1993— A 72-Year-Old Woman with a Coagulopathy and Bilateral Thigh Masses
Robert I. Handin, and Michael Laposata

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Presentation of Case

A 72-year-old woman was admitted to the hospital because of swelling and ecchymoses of both lower extremities and anemia.

The patient was in excellent health until five weeks earlier, when pain and swelling developed in the right leg. A physician diagnosed superficial thrombophlebitis and prescribed aspirin and rest. The aspirin was discontinued after two weeks because of the development of bruises over the arms and face. Three and a half weeks before entry the left leg began to swell progressively.

Eleven days before admission the patient was admitted to another hospital. The hematologic and blood chemical findings during that admission . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnoses

Dr. Robert I. Handin's Diagnoses

Pathological Discussion

Anatomical Diagnosis

Addendum

References




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