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Elderly patient with mass on the right arm of sudden onset
  1. Antonio J Martín-Jiménez,
  2. Miguel Ángel Cornejo-Saucedo,
  3. Daniel García-Gil
  1. Unidad de Gestión Clínica de Medicina Interna y Urgencias, Hospital del SAS San Carlos, Cádiz, Spain
  1. Correspondence to Dr Antonio J Martín-Jiménez; antoniomartinjimenez{at}

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Clinical introduction

An 83-year-old man with hypertension, type 2 diabetes, hypercholesterolaemia, stage 3 chronic kidney disease and bronchial asthma was admitted to the hospital for community-acquired pneumonia. The patient’s home medications were candesartan, gliclazide, metformin, simvastatin and a combination of inhaled fluticasone and salmeterol; in the hospital, he was treated with intravenous levofloxacin and ceftriaxone. Although his pneumonia improved, on day 4 he experienced sudden pain and swelling in the anterior region of the right arm (figure 1).

Figure 1

Deformity in the anterior mid-upper arm.


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