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Fern A. Wirth, MD; W. Michael Gould, MD; C. Lisa Kauffman, MD
University of Maryland School of Medicine, Baltimore

Arch Dermatol. 1999;135:1409-1414.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 62-year-old man presented with a several-month history of arthralgias and well-defined erythematous plaques on the dorsal aspect of his hands and neck that cleared during prednisone therapy for presumed lupus erythematosus. Once the predisone therapy was discontinued, the arthralgias returned, and the patient became erythrodermic within weeks, with increasing fatigue, dyspnea, and photophobia.

Physical examination revealed generalized, partially blanching, indurated, erythematous plaques involving the face, trunk, and extremities, with sparing of the axillary vaults and inframammary creases (Figure 1). Conjunctivae were injected bilaterally. There was shotty adenopathy but no hepatosplenomegaly. The lungs were clear to auscultation.

Figure 1.

Laboratory investigations, including a complete blood cell count, renal and hepatic function tests, andmeasurement of calcium, antinuclear antibody, and angiotensin-converting enzyme levels, revealed no abnormalities. The results of a Sézary preparation and purified protein derivative test were . . . [Full Text of this Article]

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