Letter to the Editor
Livedoid Vasculopathy in a Woman with Multiple Myeloma
Abstract
To the Editor:
A 62-year-old Caucasian woman with a history of multiple myeloma diagnosed one year ago presented with chief complaints of lower extremity rash of two weeks' duration and severe burning pain in the same area for the past four days. The patient had no known drug allergies and her medications included lisinopril, paroxetine, fexofenadine, and zolpidem, with no recent change in medications. A review of systems was unremarkable except that cold weather seemed to make the patient's rash worse. Past medical history was significant for hypertension, colonic diverticulosis, cerebral aneurysms, depression, alopecia, osteoarthritis, uterine fibroids, and hysterectomy. Family history was significant for stroke and cerebral aneurysms. The patient denied tobacco or illicit drug use, and alcohol was limited to one drink per day.
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