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Home » Musculoskeletal Disorders

Consultant. Vol. 43 No. 2
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Acute Dx: What Cause of Sudden Illness? 

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

By DAVID EFFRON, MD—Series Editor
Dr Effron is assistant professor of surgery at Case Western Reserve University, attending physician in the department of emergency medicine at the MetroHealth Medical Center, and consultant emergency physician at the Cleveland Clinic Foundation, all in Cleveland. | February 1, 2003

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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by carol SALISBURY | March 26, 2010 11:18 AM EDT

scurvy






 
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