This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on ISI (4)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Diagnosis  • Sarcoidosis  • Dermatology, Other  • Alert me on articles by topic

Peter G. Ford, MD; Joseph L. Jorizzo, MD; Michael G. Hitchcock, MBChB

Arch Dermatol. 2000;136:712-714.

	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 37-year-old African American woman experienced multiple presyncopal and syncopal episodes over the course of 1 to 2 weeks. She twice presented to a local emergency department, where she was given lorazepam and discharged to home. On the morning of admission to our emergency department, the patient presented with pleuritic chest pain, dizziness, and shortness of breath.

Her medical history was notable for asthma and atopic dermatitis, but she denied any prior cardiac disease, joint pains, or visual disturbances. She did report a long history of facial, neck, and arm lesions, which recently had become more prominent and pruritic. Her only medication at the time of admission was an albuterol inhalant.

The physical examination revealed an obese black woman with a heart rate ranging from 30 to 45 beats per minute, normal heart sounds, clear lungs, and no . . . [Full Text of this Article]

DIAGNOSTIC CHALLENGE

COMMENT

From the Wake Forest University School of Medicine, Winston-Salem, NC.