A Patient With Psychiatric Illness and Multiple Hemorrhages

A 61-year-old man with a history of hypertension, psychosis, and recurrent venous thromboembolism had fatigue, weakness, and arthralgias after an unexplained fall, as well as peripheral edema of the lower extremities with widespread hematomas, ecchymosis, and perifollicular hemorrhage and petechiae. Laboratory testing revealed normocytic anemia, low folic acid level, and normal coagulation values. What is the diagnosis and what would you do next?
Source: JAMA - Journal of the American Medical Association - Category: General Medicine Source Type: research