Subcutaneous nodules in a critically ill patient

Subcutaneous nodules present a diagnostic challenge, especially in critically ill patients with multiple comorbidities. This is a 56-year-old Caucasian female with sore throat and nausea admitted to the intensive care unit with acute renal failure from obstructive uropathy and urosepsis. She developed painful nodules on her lower extremities requiring dermatology consult. She acquired joint pain and swelling, and later developed abdominal pain and emesis. Physical exam revealed tender erythematous nodules on the thighs, shins and second and third digits of both feet without necrosis.
Source: Journal of the American Academy of Dermatology - Category: Dermatology Source Type: research