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A 39-year-old man was admitted to the hospital because of fever, diffuse arthralgia, and purpuric skin lesions.
There was a history of intravenous drug abuse 20 years earlier, during which the patient contracted hepatitis, with jaundice for 1 month. He discontinued the practice soon thereafter. Five years before admission a physician informed the patient that he was a carrier of hepatitis B viral antigen and had thrombocytopenia. Several months before entry he was also told of the presence of antibodies to viral hepatitis C. Microscopical examination of a liver-biopsy specimen at another hospital showed chronic active hepatitis and micronodular cirrhosis
Differential Diagnosis
Clinical Diagnosis
Dr. Peter A. Rice's Diagnosis
Pathological Discussion
Anatomical Diagnosis
Addendum
References
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