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Hemosiderosis, Stasic Dermatitis, and Polycythemia Vera. Presented by Dr. Samuel M. Bluefarb, Dr. A. Goldberg, and (by invitation) Dr. Leonard Hoit.
The patient, C. R., a white woman, aged 60, was admitted on September 27. The patient has a 10-year history of dyspnea, palpitation, orthopnea, and edema of the legs and feet. She has been a known hypertensive for five years, and has had an ulcer of the right foot for one year.
Three weeks before admission the patient developed a generalized itching and maculopapular rash. She gives a history of taking various proprietary laxatives and barbiturate-containing tablets, magnesium sulfate, glyceryl trinitrate, digitalis, "Stanish 17," and "Triple T" for many years.
The past history was essentially negative except for above. The family history was noncontributory.
Physical Examination: On admission the patient had bilateral stasis dermatitis, an ulcer (5 by 3 cm.) of the right leg, and an