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A 72-year-old man was admitted to the hospital because of chronic cutaneous ulcers and the recent onset of progressive renal failure.
The patient had been in good health until five years earlier, when congestive failure developed. Nine months later a St. Jude prosthetic aortic valve was implanted at this hospital because of stenosis of a bicuspid aortic valve. Warfarin was begun. At discharge the urine and the urea nitrogen and the creatinine levels were normal.
Fifteen months before admission the patient entered another hospital because of chronic nonhealing ulcers of the right leg that were suspected to represent pyoderma gangrenosum.
Differential Diagnosis
Clinical Diagnoses
Dr. John T. Harrington's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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