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An unusual case of toe ulceration.

Authors
  • Lankipalli, Ramarao
  • Konkle, Barbara
  • Mohler, Emile R 3rd
Type
Published Article
Journal
Vascular medicine (London, England)
Publication Date
Feb 01, 2006
Volume
11
Issue
1
Pages
35–37
Identifiers
PMID: 16669411
Source
Medline
License
Unknown

Abstract

We describe an unusual presentation of toe ulceration in a 39-year-old otherwise healthy man. The left fifth toe was painful for several months with ulceration at the tip. The other toes appeared cyanotic and discolored. Foot pulses were normal. Laboratory testing revealed the platelet count at 1208 thousand/microliter, with hemoglobin 19.2g/dl and hematocrit 57%. The erythropoietin level was found to be markedly decreased at 1 mU/ml. The patient was given the diagnosis of polycythemia vera with iron deficiency. Phlebotomy was performed and aspirin and cytoreductive therapy with hydroxyurea was prescribed with resolution of the toe ulceration.

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