ONCOLOGY. Vol. 26 No. 1

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TEST YOUR IMAGE IQ

46-Year-Old Woman Presents With Difficulty in Ambulation, and Swelling and Discoloration of Both Eyelids

By Ted Rosen, MD | January 9, 2012

Professor of Dermatology at Baylor College of Medicine; Chief of Dermatology at Michael E. DeBakey VA Medical Center

A 46-year-old woman presented for medical evaluation due to a 2-month history of increasing difficulty in ambulation, especially getting up out of a chair or climbing stairs. She had also noticed swelling and discoloration of both upper eyelids (as depicted) and some small erythematous papules on the dorsum of several fingers on both hands. Routine blood work was within normal limits except for an elevated erythrocyte sedimentation rate (ESR).

Both creatine phosphokinase (CPK) and aldolase were markedly elevated. It would also be advisable to order which additional test(s)?

	A. Mammogram.
	B. Transvaginal ultrasound.
	C. Anti–p155/140 antibody.
	D. CA-125 serologic test.
	E. All of the above.
	F. None of the above.

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TOPIC INDEX

Cancer Types
Breast Breast (HER2+) Breast (Triple-Negative) CML Colorectal Gastrointestinal GIST Genitourinary Gynecologic Head & Neck	Hematology Kidney (Renal Cell) Leukemia Lung Lymphoma Melanoma Multiple Myeloma Ovarian Prostate Sarcoma
Supportive Care	More Topics
Bone Metastases End-of-Life Care Palliative Care	Ethics in Oncology Practice Management Practice & Policy

All Topics