A 92-year-old woman who was recently admitted to a nursing home because of progressive dementia has large purpuric lesions over the dorsa of both forearms and hands. Her family states that she has had similar lesions on and off for years and that, to the best of their knowledge, these lesions occur in the absence of trauma. The woman appears well cared for and has no other indications of recent or remote injury. Her platelet count is normal. Which of the following is the most likely explanation for the purpura?
A. Abuse by a family member
B. Atrophy of dermal collagen
C. Autoimmune disease
D. Hereditary hemorrhagic felangiectasia
E. Platelet dysfunction
A 92-year-old woman who was recently admitted to a nursing home because of progressive dementia has large purpuric lesio
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answerhappygod
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