Interesting case of red feet
Yesterday one of the young doctors presented an interesting case to me. It had been presented to several others with no diagnosis.
A 26 year old male had acute onset of severe pain, redness and swelling in both feet several hours before presenting to a local ER. He had a MVA years ago and 12 subsequent surgeries to this leg.
He had no chronic diseases. He is a construction worker and drove a bull dozer all day. His pain was severe requiring multiple doses of narcotics without relief. Both feet were swollen and red with some extension into his lower legs.
Lab --cbc, lytes, cmp, xrays, sed rate all normal with the exception of his LDH which was double the normal value.
Questioned about resources used: "called everyone I could think of , Googled it, searched all my texts and no answer".
What is your differential dx starting with the most likely of course.