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Postgraduate Medical Journal 2003;79:420
© 2003 Fellowship of Postgraduate Medicine


SELF ASSESSMENT QUESTION

Rheumatology

An unusual cause of a discharging sinus

K M Marya , V Yadav

Department of Orthopaedics, Paraplegia, and Rehabilitation, Postgraduate Institute of Medical Sciences, Rohtak, India

Correspondence to:
Correspondence to:
Dr K M Marya, S S R Medical College, Belle Rive, Mauritius;
dr_marya@hotmail.com

Submitted 21 September 2002
Accepted 19 December 2002


Answers on p424.

Keywords: calcinosis cutis; scleroderma; Raynaud’s phenomenon

The first 150 words of the full text of this article appear below.

A 37 year old man presented to the orthopaedic outpatient department complaining of a white liquid discharge coming out of the front of his right leg. Physical examination revealed that he had a discharging sinus on the anterior aspect of middle thirds of his right leg draining a milky white fluid with a viscosity of that of water. There was an area of 3 x 2 cm around the sinus that was indurated. Radiography of the leg showed a radio-opaque lesion in the subcutaneous tissue (fig 1Go). No irregularity or abnormality was detected in either bone of the leg. Bacteriological examination of the fluid was negative as was the KOH mount done to exclude a fungal infection. His blood counts were neutrophils 76%, lymphocytes 20%, monocytes 2%, eosinophils 2%, and his blood cultures were negative. Blood chemistry, renal function, and liver function were all normal. Detailed examination of . . . [Full text of this article]


Relevant Article

An unusual cause of a discharging sinus
Postgrad. Med. J. 2003 79: 424-425. [Extract] [Full Text] [PDF]






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