Case 4-1990

Abstract

Presentation of CaseA 53-year-old woman was admitted to the clinic because of extensive cutaneous swelling, thickening, and pain, with peripheral eosinophilia.The patient was in a stable state of health until five months earlier, when swelling developed in both legs, with purplish discoloration and generalized pruritus. During the following month the patient gradually became aware that the skin was becoming progressively leathery. At about the same time she began to experience a burning sensation in both legs, accompanied by tingling and numbness that became constant; sharp pains appeared, like "bolts of electricity," that shot up from the ankles to . . .