Clinical Case Database / Category: Case Based Discussion

Skin biopsy

Publication details

Dr Anne-Marie Skellett, Dr Nasir Shah, Dr Clive Grattan
Foundation Years Journal, volume 2, issue 9, p.359 (123Doc Education, London, November 2008)

Abstract

A 35-year-old man on the ward has developed palpable purpura to his lower legs which are clinically thought to represent a cutaneous small vessel vasculitis. You are asked to take a skin biopsy to help confirm the diagnosis.

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Authors

Dr Anne-Marie Skellett (Corresponding author)

Dermatology Department
Norfolk and Norwich University Hospital
NHS Foundation Trust
Colney Lane, Norwich
Norfolk
NR4 7UY
anne.skellett@nnuh.nhs.uk

Dr Nasir Shah

Dermatology Department
Norfolk and Norwich University Hospital
NHS Foundation Trust
Colney Lane, Norwich
Norfolk
NR4 7UY

Dr Clive Grattan

Dermatology Department
Norfolk and Norwich University Hospital
NHS Foundation Trust
Colney Lane, Norwich
Norfolk
NR4 7UY

References

1. Stables G, Lawrence C. Management of patients taking anticoagulant, aspirin, non-steroidal anti-inflammatory and other antiplatelet drugs undergoing dermatological surgery. Clin Exp Dermatol, 2002, 27(6):432–435.
2. Ah-Weng A, Natarajan S, Velangi S. Preoperative monitoring of warfarin in cutaneous surgery. Br J Dermatol, 2003, 149(2):386–389.
3. National Institute for health and clinical excellence. Referral Guidelines for suspected cancer. Available from: www.nice.org.uk/CG027

Disclaimers

Conflict Of Interest

The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).

Financial Statement

The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.

Patient Consent statement

All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.

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When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.

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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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