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She had previously received lithium for 20 years for a schizoaffective disorder, but this treatment had been discontinued 3 years before presentation

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The practical questions are local, and they sit with Area Prescribing Committees: Where will it land on formulary

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On examination, he has a body mass index (calculated as weight in kilograms divided by height in meters squared) of 40, a blood pressure of 144/86 mm/Hg, and well-demarcated red, scaly plaques on the extensor surfaces of the arms, legs, trunk, and scalp, involving 25% of the body surface area

The bruise can vary in size, color & duration, depending on the person.
