A Bruising Loss

作者:Gibson Christopher J; Berliner Nancy; Miller Amy L*; Loscalzo Joseph
来源:New England Journal of Medicine, 2016, 375(1): 76-81.
DOI:10.1056/NEJMcps1500127

摘要

A 32-year-old woman presented to her physician with a 3-week history of spontaneous bruising on her arms, legs, and back. The bruising began shortly after she had had sore throat, coryza, and malaise for several days, symptoms that had resolved without intervention. During the week before presentation, she also noted pain in her right elbow and both knees. She had no history of easy bleeding or bruising. She reported fatigue but no fevers, night sweats, recent weight loss, epistaxis, bleeding when brushing or flossing her teeth, rectal or vaginal bleeding, dry mouth or eyes, rashes, or myalgias.

  • 出版日期2016-7-7