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Dermatology clinic

A painful violaceous lesion on the thigh

Gayle Fischer

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Abstract

Test your skills in our regular dermatology quiz. What is the diagnosis and how should this patient be managed?

Article Extract

Case history

A 48-year-old woman presents with a painful violaceous lesion on her thigh (Figure). Three days previously she had commenced warfarin after developing a deep vein thrombosis. Her INR is in the therapeutic range.

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