An 81-year-old man was presented to the ED after he experienced a fall. The patient reportedly had a medical history of atrial fibrillation and hypertension. Physical Examination Physical examination revealed: The presence of blue and gray pigmentation, also known as ceruloderma, along with discoloration around his cheeks, nose, and forehead. The deep skin folds of the patient were free from these pigmentations.
The patient experienced no injuries due to the fall. He reported the skin discoloration to be long-standing. Medication History The patient was on the following medications: Apixaban Ramipril Bisoprolol Amlodipine Amiodarone (started 15 years earlier for an episode of atrial fibrillation suffered due to rapid ventricular response) Diagnostic Test Electrocardiogram examination revealed the presence of atrial fibrillation with a heart rate of 68 beats/minute. Source: The New…
