On admission, the blood pressure was 141/81 mm Hg, and pitting edema in the legs was present; laboratory testing was performed to evaluate for preeclampsia. The blood albumin level was 2.1 g per ...

Pitting edema (3+) and vitiligo were noted on the legs. No sclerodactyly, digital pitting, telangiectasias, appreciable calcinosis, nodules, nail changes (including pitting), or tophi were present.