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50 year old female with cutaneous vasculitis??

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This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome." Chief complaints:  1) Ulcers over the body  2) swelling over the gluteal region 3) Difficulty swallowing 4) Nausea sensation 5) Generalized weakness 50 year old female , House wife by occupation mother of 3 children (1son and 2 daughters ).   Story of her son  : Her son died at his 15 years of his age( when asked she said he had polio, at birth he didn't cried, from 4 years of age, he developed seizures , on /off.One day, every one went outside , when she came ...

43 year old female with limited systemic sclerosis

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This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.  Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome." 43 year old female,who is apparently normal till 18 years of age.At 18 years of age, patient got married and had gave birth to make child after 1 year .This child expired at 4 months of age due to fever in outside hospital. After 6 months she conceived again and gave birth to female child .The child died at 3 months of age due to fever.Both of this pregnancies ,she had no complications during her pregnancy and delievered by normal vaginal delivery. After 1 year ,s...