Breath-taking Skin Nodules*
نویسنده
چکیده
.A31.Yearold black man presented in the emergency room with acute shortness of breath. Physical examination revealed numerous symmetrical asymptomatic firm nodules scattered over his trunk and extremities (Fig 1). Auscultation of his chest revealed diffuse intermittent rales over all lung fields. Review of systems was significant for a ten pound weight loss in the last month, increasing dyspnea on exertion for two months, and polyarthralgias. He denied fever, chills, chest pain, hemoptysis, or sputum production. Arterial blood gas levels on room air showed pH, 7.4; Pco2, 35; and Po2, 57. Electrocardiographic examination revealed multifocal premature ventricular contractions. What is the diagnosis? a) Metastatic lung carcinoma b) Cutaneous tuberculosis c) Leprosy d) Sarcoidosis
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