A 40-Year-Old Man with Rashes and Palpitations.

نویسندگان

  • Shan Xian Lee
  • Yong Kwang Tay
چکیده

A 40-year-old Singaporean Indian man with no signifi cant past medical history presented with worsening non-pruritic rashes primarily involving his limbs over a 6-month period. He also reported a near fainting episode associated with recurrent palpitations over the past few weeks. Clinical examination revealed the presence of multiple waxy yellowish-brown dermal papules and plaques over his limbs (Fig. 1) as well as an irregular pulse, but was otherwise unremarkable. A full blood count showed lymphopenia at 200 cells/μL, while serum electrolytes including calcium levels, liver and thyroid function tests were normal. Cardiac enzymes were not raised, but an electrocardiogram showed complete heart block (Fig. 2). What is the diagnosis? A. Xanthomas with ischaemic heart disease B. Primary systemic amyloidosis with cardiac involvement C. Sarcoidosis D. Lepromatous leprosy E. Adult T-cell leukaemia/lymphoma

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عنوان ژورنال:
  • Annals of the Academy of Medicine, Singapore

دوره 45 6  شماره 

صفحات  -

تاریخ انتشار 2016