Phys Clinical Cases · dermatological
Vasculitic Skin Lesions — DCE Clinical Case
DCE long-case and short-case station for Vasculitic Skin Lesions.
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Vasculitic Skin Lesions — Clinical Case
DCE Long Case
Patient brief
Patient: A middle-aged or older adult with multimorbidity and a presentation centred on Vasculitic Skin Lesions. [1]
Presenting complaint: Subacute or acute symptoms referable to Vasculitic Skin Lesions, with enough detail to force prioritisation. [1] [2]
Past history: Common cardiometabolic and organ comorbidities that interact with the plan. [2]
Medications: A polypharmacy list that includes at least one interaction or dosing issue. [2]
Examination: Key positives and critical negatives for dangerous differentials. [1]
Investigations: A small set of results that change management. [1] [2]
Tasks
- Present a prioritised problem list. [1]
- Defend investigations and immediate therapy. [1] [2]
- Provide safety-net and follow-up advice. [2]
Model discussion points
- Working diagnosis and acuity. [1]
- Differentials and discriminators. [2]
- Treatment sequence and monitoring. [1] [2] [3]
- Multimorbidity and communication. [2]
Short case
Focused examination or counselling station linked to Vasculitic Skin Lesions, with one interpretation task and one shared-decision point. [1] [2]
References
- [1]Balado-Simó P, Gimeno-Ribes E, Riera-Monroig J, Catalá-Gonzalo A, et al. Dermatological manifestations associated with chemsex J Eur Acad Dermatol Venereol, 2026.PMID 42434837
- [2]Sharma Y, Nadig P, Das J, Iyengar V, et al. Henoch-Schoenlein purpura-like lesions in IL12RB1 and IL12B defects-a multi-centric experience from India Clin Exp Immunol, 2026.PMID 42366588
- [3]Ribero Vargas DA, Ayala Monroy GA, Gómez Cerón LN, Aguilar Gómez M, et al. Retiform purpura and blue toe: an unusual presentation of systemic lupus erythematosus Clin Rheumatol, 2026.PMID 42329349
- [4]Di Rocco M, Fantasia AR, Taro M, Loy A, et al. Systemic lupus erythematosus-like disease in a 6-year-old boy with prolidase deficiency J Inherit Metab Dis, 2007.PMID 17570078
- [5]Xi Y, Yao T, Zhang C, Zhuang T Effectiveness of safety care and clinical nursing pathway in patients undergoing cardiovascular intervention: a randomized controlled trial Perioper Med (Lond), 2026.PMID 42469924
- [6]Marks FJ, Walters SJ, Sutton L, Jacques RM What statistical methods are more appropriate for predicting recruitment at the design stage of a randomised controlled trial? Trials, 2026.PMID 42469922
- [7]Hajiaqaei M, Mohammadi A Transcranial random noise stimulation (tRNS) over the left dorsolateral prefrontal cortex ameliorates emotion dysregulation and executive function: a single-blind, randomized, sham-controlled clinical trial BMC Psychol, 2026.PMID 42469906
- [8]Erol V, Güzel Z, Akgün İE, Ecer G Hydroxyurea-Associated Wunderlich Syndrome in Triple-Negative Myelofibrosis: A Case Report and Literature Review Case Rep Hematol, 2026.PMID 42182820