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Diffuse Dermal Angiomatosis Manifestation of Underlying Severe Peripheral Vascular Disease
Abu Baker Sheikh1, Nismat Javed2, Karl Stoltze1
1Department of Internal Medicine, University of New Mexico, Albuquerque, NM, USA.
Abstract:
Diffuse dermal angiomatosis is a benign vascular disorder suspected in patients with cardiovascular risk factors. We report the case of a 62-year-old woman with a non-healing hip wound but no significant cardiovascular risk factors, who was found to have diffuse dermal angiomatosis on biopsy leading to the diagnosis of severe peripheral vascular disease. Her wound healed after revascularization.
Learning Points:
Patients with diagnosed diffuse dermal angiomatosis should be evaluated for underlying peripheral vascular disease.The mainstays of therapy are treating the underlying cause, lifestyle modifications to control the risk factors, and revascularization.Diffuse dermal angiomatosis is diagnosed on biopsy and can present in patients without any significant risk factors.
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Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...

