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Rheumatology Advance Access originally published online on June 24, 2009
Rheumatology 2009 48(9):1170-1172; doi:10.1093/rheumatology/kep173
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© The Author 2009. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Fulminant polyarteritis nodosa associated with acute myeloid leukaemia resulted in bilateral lower leg amputation

Timo Buhl1, Hans P. Bertsch1, Björn-W. Raab2, Kjell M. Kaune1, Radovan Vasko3, Frank Strutz3, Michael P. Schön1 and Undine Lippert1,4

1Department of Dermatology and Venereology, 2Department of Diagnostic Radiology, 3Department of Nephrology and Rheumatology, Georg August University, Göttingen and 4Department of Dermatology, Venereology, Allergology and Immunology, Dessau Medical Center, Dessau, Germany

Correspondence to: Timo Buhl, Department of Dermatology and Venereology, Georg August University, Von-Siebold-Strasse 3, 37075 Goettingen, Germany. E-mail: buhl@med.uni-goettingen.de

The first 10% of the full text of this article appears below.

SIR, A 42-year-old white male patient with a history of smoking was diagnosed with myelodysplastic syndrome (MDS) 10 years ago [classified as refractory anaemia with excess blasts (RAEB)], and was treated with chemotherapy [thioguanine, cytarabine, daunorubicin/high-dose cytarabine, mitoxantrone (TAD/HAM)] and considered to be in complete remission for the last 9 years.

On admission to our clinic, the patient presented with mild oedema, livedo reticularis and erythematous, partly confluent indolent papules and nodules on the frontal and lateral aspects of both lower legs. Besides that, testicular pain . . . [Full Text of this Article]


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