Images of the month 1: ‘The scurvy’ – diagnosis by gestalt

摘要

A 34-year-old man was admitted to hospital with progressive and severe lower limb pains, increasing wheelchair dependence and a spreading rash affecting the legs. Admission test results were normal including clotting screen and platelet count. Suggested diagnoses on a busy post-take ward round included leukocytoclastic vasculitis, hyperviscosity syndromes and cryoglobulinaemia. Suspected neurological pathologies prompted neuroimaging.