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Patchy Erythema on the Breasts
Wendy S. Susser, MD;
Ann E. Perry, MD;
Steven K. Spencer, MD
Dartmouth-Hitchcock Medical Center, Lebanon, NH
Arch Dermatol. 2001;137:495-500.
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REPORT OF A CASE
A 52-year-old woman admitted to the hospital for shortness of breath was seen for evaluation of a pruritic rash that had been present on her breasts for 3 weeks. She had a history of inflammatory infiltrating ductal carcinoma of the left breast, which had been diagnosed 1 year earlier, and was being treated with chemotherapy. She had received her last cycle of carboplatin and paclitaxel 3 days before a new rash developed on both breasts. She had a long-standing history of seizures and hypertension, and the rash had also appeared approximately 2 weeks after valproic acid and nadolol therapy was initiated. Prior to admission, she presented to her family physician, who gave a diagnosis of fungal infection and prescribed miconazole treatment.
Physical examination showed smooth, erythematous patches with overlying telangiectasias in a livedo pattern on both breasts. These . . . [Full Text of this Article]
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