Abstract:A 72-year-old man with type 2 diabetes mellitus, hypertension, osteoarthritis, and pancreatic insufficiency on enzyme replacement presented to primary care with a painful subcutaneous elbow nodule. Oral antibiotics were prescribed for presumed cellulitis and then indomethacin. However, new nodules developed, and he was admitted. Punch biopsy showed necrotizing panniculitis; 10 days after admission, he was transferred to a tertiary care center for dermatology/rheumatology consultation.Examination showed multipl… Show more
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