This patient has seen doctors for years without a diagnosis. She has crampy abdominal pain, fatigue, nonbloody diarrhea, weight loss, and fever. She attributes her weight loss to mouth pain and pain with swallowing. A colonoscopic image is shown below as are two interesting skin rashes.
First two images shown under GNU Free Documentation License. Last image is in the public domain.
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3 comments:
IBD, causing erythema nodosum and pyoderma gangrenosum?
IBD with extraintestinal manifestions, ie pyoderma gangrunosum, mouth ulcers, dd behcet.
yes, nicely done, classic internal medicine boards questions
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Picture This
The first image shows a serpiginous ulcer; the second image shows erythema nodosum; the third image shows pyoderma gangrenosum. This is consistent with Crohn's disease.
Sources: UpToDate; Wikipedia.
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