Saturday, 02 October 2021
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Hi Everyone,
I am hoping I am posting in the right area. I'm jumping in with both feet- and asking for some help.
I have a new client that presented in community with very painful purple plaques with red halo around them. He has no other autoimmune issues, doppler sounds to bilateral pedal and posterior tibial pulse were triphasic. Was an active avid golfer. Non-smoker. History of asthma. Does not appear to be pressure related. Very painful to walk. Today says he has developed one on his finger. I have attached photo's in the attachments below with their permission. No identifying features. Any help would be appreciated.
3 weeks ago
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#20
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Hi Virginia,

Here are some things to consider:
-how did the lesions appear initially? how are they progressing?
-what medications the patient is on particularly those that can induce tissue necrosis/ischemia?
-any other underlying co-morbidities? Ie. Coagulation Disorders, Renal Failure or Thyroid Disorders
-have you considered a biopsy to ruleout presence of neoplastic, inflammatory, vascular or other aetiology?
-any recent labs (CBC, Chemistry etc) any abnormal values (Ie. elevated ESR or Calcium etc)
1 week ago
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#26
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Hi Virginia,

I would investigate in peripheral arterial obstructive diseases, as Raynaud syndrome or Buerger's disease
Hope it help
Bye

Jacques
1 week ago
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#27
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Thanks, it turned out to be vasculitis. He has been on steroids and areas are clearing up.
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