Lower limb ecchymosis in a man with a history of alcohol misuseBMJ 2021; 375 doi: https://doi.org/10.1136/bmj.n2511 (Published 04 November 2021) Cite this as: BMJ 2021;375:n2511
- Melanie Etti, clinical fellow,
- Gurjinder Sandhu, consultant in infectious diseases and general medicine
- Ealing Hospital, Southall, London
- Correspondence to: M Etti
A man in his 50s presented with a two week history of a large ecchymosis on his left ankle and foot, and a two month history of petechial rash on his lower limbs (fig 1 and fig 2). He had no history of recent trauma, fevers, night sweats, weight loss, or upper respiratory symptoms, and did not report any bleeding from other sites. His diet largely consisted of ready meals and he had not consumed fresh fruit or vegetables for more than a year.
He said that he had not used alcohol or injected drugs in the past six …