Case 119 – The beginning

Welcome to a new case for TeamHaem!

You get a phone call for advice from a dermatology registrar who has seen a 68 year old man in outpatient clinic.

The patient has a 20-year history of eczema which has been managed by his GP with topical treatment. He has experienced gradual worsening control of his skin over recent months and now complains of unbearable itching. On examination the SpR noted erythematous, well defined patches and plaques over his trunk and limbs. She also noted a 2cm firm lesion on his right arm with associated right axillary lymphadenopathy, and would therefore value your input.

What further information would you like to know? What investigations would you suggest that the team arrange?

Please reply to us (@TeamHaem) on Twitter and always include #TeamHaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to evolve over the coming week so keep checking #TeamHaem on Twitter for more information.

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