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Alcoholic man with weakness, fatigue, bleeding gums, and leg lesions

Alcoholic man with weakness, fatigue, bleeding gums, and leg lesions

THE CASE:

The family of a 50-year-old alcoholic man brings him to your office. They are concerned about his health and note that they had not seen him for several months before he reappeared. The patient complains of generalized weakness, fatigue, and bleeding gums.

 Which diagnosis comes to mind as you examine the patient’s lower extremities?

  • Thrombocytopenia.
  • Hypersensitivity vasculitis.
  • Scurvy.
  • Senile purpura.

(Answer and discussion on next page.)

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