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S Lane AndrewCorresponding author Cardiovascular Ultrasound Laboratory, Department of Intensive Care Medicine, Nepean Hospital, PO Box 63, Penrith NSW 2751
Rheumatic heart disease is becoming far less common in the developed world, and therefore expsoure to its complications are been seen less by clinicians. With the increasing ease of world travel, patients with less commonly seen medical conditions are increasingly presenting to Hospitals requiring management of their complications. We present a case of an elderly lady who was a tourist in Australia, who presented with complications of her rheumatic heart disease, and her subsequent radiological and echocardiographic investigations were a significant surpirse for her treating clinicians.
A clinical image and brief discussion of cutaneous mastocytosis describe presentation, dermoscopy, and diagnostic clues. The note underscores when to evaluate for systemic involvement.