© 2003 Fellowship of Postgraduate Medicine
SELF ASSESSMENT QUESTION
Rheumatology
An unusual cause of a discharging sinus
Department of Orthopaedics, Paraplegia, and Rehabilitation, Postgraduate Institute of Medical Sciences, Rohtak, India
Correspondence to:
Correspondence to:
Dr K M Marya, S S R Medical College, Belle Rive, Mauritius;
dr_marya@hotmail.com
Accepted 19 December 2002
Answers on p424.
Keywords: calcinosis cutis; scleroderma; Raynaud’s phenomenon
| The first 150 words of the full text of this article appear below. |
A 37 year old man presented to the orthopaedic outpatient department complaining of a white liquid discharge coming out of the front of his right leg. Physical examination revealed that he had a discharging sinus on the anterior aspect of middle thirds of his right leg draining a milky white fluid with a viscosity of that of water. There was an area of 3 x 2 cm around the sinus that was indurated. Radiography of the leg showed a radio-opaque lesion in the subcutaneous tissue (fig 1
). No irregularity or abnormality was detected in either bone of the leg. Bacteriological examination of the fluid was negative as was the KOH mount done to exclude a fungal infection. His blood counts were neutrophils 76%, lymphocytes 20%, monocytes 2%, eosinophils 2%, and his blood cultures were negative. Blood chemistry, renal function, and liver function were all normal. Detailed examination of
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An unusual cause of a discharging sinus
Postgrad. Med. J. 2003 79: 424-425.[Extract] [Full Text] [PDF]
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