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Case Records of the Massachusetts General HospitalFree Preview

Case 17-2021: An 82-Year-Old Woman with Pain, Swelling, and Ecchymosis of the Left Arm

List of authors.
  • Kathleen M. Finn, M.D., M.Phil.,
  • Patrick D. Sutphin, M.D.,
  • Jonathan C.T. Carlson, M.D., Ph.D.,
  • Kevin A. Raskin, M.D.,
  • and Elizabeth M. Van Cott, M.D.

An 82-year-old woman was admitted with pain, swelling, and discoloration of the left arm. CT revealed hematoma involving the brachioradialis muscle. The prothrombin time was 13.3 seconds (normal range, 11.5 to 14.5) and the activated partial-thromboplastin time 72.4 seconds (normal range, 22 to 36). A diagnostic test was performed.

Funding and Disclosures

This case was presented at the Medical Case Conference.

Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.

No potential conflict of interest relevant to this article was reported.

This article is dedicated to the memory of Dr. Elizabeth M. Van Cott, who died several days after submission of the manuscript.

Author Affiliations

From the Departments of Medicine (K.M.F., J.C.T.C.), Radiology (P.D.S.), Surgery (K.A.R.), and Pathology (E.M.V.C.), Massachusetts General Hospital, and the Departments of Medicine (K.M.F., J.C.T.C.), Radiology (P.D.S.), Surgery (K.A.R.), and Pathology (E.M.V.C.), Harvard Medical School both in Boston.

Elizabeth M. Van Cott is deceased.

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