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Jonathan Dau Profile picture
Jonathan Dau
@JonathanDauMD
Rheumatology Fellow @MGHrheumatology @MGH_MSUS. Alum of @UTHimres. Nutrition & Health | axSpA | MSK Ultrasound. Tweets are mine.
Sep 15, 2019 • 7 tweets • 5 min read
Derm/Rheum Consult 1: 82yoW w/ HTN, breast can, new annular rash. Skin bx eosinophilic lymphocytic infiltrate. Gave 1mg/kg steroids.
ANA+ with centromere pattern, CREST?
==>#UnmaskSx with Steroids when tapering steroids.
==>Deep perivascular infiltrate on bx = Derm IDK!

1/ Derm/Rheum Case 2: 78yoF MGUS,HFpEF, rash on legs. ?purpura. w/u Cryocrit normal , RF+ skin bx C3 in vessel walls, LCV.
Dx: Type II Cryo
Learning Pearl: Retiform purpura "angular stellate rash" pic below and diagram -> VASCULITIS or VASCULOPATHY

#dermtwitter #rheumatology
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