Systemic Ulcerative Lesions in a Patient With Ischemic Heart Disease

Question: An 84-year-old woman was admitted to our hospital because of general fatigue and anal pain. She had a history of diabetes mellitus, hypertension, and hyperlipidemia, and had undergone intracoronary stenting for unstable angina. Aspirin, clopidogrel, carvedilol, enalapril, and nicorandil had been prescribed for 20 months. At the initial visit, she was in moderate distress, and her temperature was 37.5°C. Both eyes were congested, and multiple ulcers in both upper palpebral conjunctiva (FigureA) and perianal skin (FigureB) were observed.
Source: Gastroenterology - Category: Gastroenterology Authors: Tags: Electronic Clinical Challenges and Images in GI Source Type: research