{
  "abstract": "A man in his 40s presents to the cardiology department for an ECG. He had a prior kidney transplant for an unknown reason and a history of dyspnoea and long-term neurological pain in the limbs triggered by stress and extremes of temperature (heat or cold). Physical examination revealed small reddish-purple skin lesions in the hip, periumbilical region and lips ( figure 1A). The 12-lead ECG revealed a short PR interval, voltage criteria for left ventricular hypertrophy (LVH), prolonged QRS duration and repolarisation changes with diffuse and deep T-wave inversions (figure 1B). A transthoracic echocardiogram revealed concentric LVH with septal and posterior wall thickness of 14 mm and grade 2 diastolic dysfunction.",
  "authors": [
    {
      "affiliations": [
        "Cardiology Post-graduation Program, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil",
        "Cardiology, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil"
      ],
      "name": "Henrique Iahnke Garbin"
    },
    {
      "affiliations": [
        "Cardiology Post-graduation Program, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil",
        "Cardiology, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil"
      ],
      "name": "Anderson Donelli da Silveira"
    }
  ],
  "title": "Skin lesions and electrocardiogram abnormalities in a middle-aged man",
  "uid": "3582c567-aa4f-5484-b987-ad41d3c06a89"
}