Case Presentation: A 75 YOM was admitted with leg pain due to aorto‐iliac occlusion. Aortobifemoral bypass was performed under full dose heparin followed by SC heparin. Five days later the patient developed a right gastrocnemius clot and a purpuric thigh rash. Biopsy revealed epidermal necrosis, vascular ectasia, and thrombus. The rash was attributed to transient […]

Case Presentation: An 80-year-old man native to the Rio Grande Valley with chronic obstructive pulmonary disease (COPD) and obesity presented with bilateral lower extremity pain and erythema that had been worsening over the last six months. Prior to admission the patient had been diagnosed with bilateral lower extremity cellulitis and completed multiple courses of oral […]

Case Presentation: An undomiciled 48-year-old man with HIV presented with fever, chills, rigors, and bilateral leg swelling with pain for 1 week. He had developed worsening painful weeping ulceration most prominently over his right leg below the knee after exposure to water during a series of thunderstorms over the week prior. Physical examination revealed fever, […]