MICHAEL E.MINGMD, MSCE
CARRIE ANN R.CUSACKMDSENAIT W.DYSONMDJACQUELINE M.JUNKINS-HOPKINSMDVINCENTLIUMDKARLA S.ROSENMANMD
A 50-year-old man with a 10-year history of schizophrenia presented with a 2-month history of fatigue and a 7-day history of spontaneous pain and swelling in his left knee, leading to difficulty in walking. Physical examination revealed gingival hypertrophy with bleeding (Figure 1) and perifollicular purpura, especially on the legs, as well as the presence of coiled hairs (Figure 2, arrows).
Masferrer E, Canal L, Álvarez A, Jucglà A. Gingival Hypertrophy and Anemia—Quiz Case. Arch Dermatol. 2009;145(2):195-200. doi:10.1001/archdermatol.2008.580-a