A 60-year-old policema n presented to a clinic with complaints of a painful burning sensation in his lower limbs that was present for the last several months. One week before the presentation, there was the development of petechiae in the lower extremities.
Presenting illness Chronic fatigue Aching joints Distal paraesthesia of both legs Painful burning in both feet, with progression to the lower and upper limbs Medical history Unremarkable No allergies Surgical history Removal of the appendix at the age of ten years 35 years ago, he suffered from a gunshot injury to the arm, for which he had received a blood transfusion Family history Hypertension and T2DM in the father Social history Married with two children Denied any intravenous drug abuse Denied significant consumption of alcohol Current medication None Physical examination (a) Vitals Heart rate: 83/min Blood pressure: 114/72 mmHg…
