Cutaneous Nodules-A Challenging Presenting Sign in Breast Neoplasm

Abstract

Mihalcea R, Radu F, Bordea A, Patru R, Manolache R, Popa I, Salcianu I, Spataru D and Savulescu Fiedler I

Dr Mihalcea (Internal Medicine): A 77-year-old woman was admitted to the hospital because of dyspnea at rest, fatigability, unproductive cough (debuted 6 months prior to admission, with no improvement from common cough medication), and the onset, reportedly during the previous two months, of painful, erythematous, hard nodules distributed diffusely all over her body. She had a history of rheumatic heart disease, with severe mitral- valve stenosis, atrial fibrillation, and heart failure with reduced ejection fraction. Two months earlier she was admitted for a routine check-up at the Cardiology Ward of the hospital where she was being monitored for her cardiovascular pathology, and no nodules were reported.

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