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Pustular Plaques on the Face of a Patient With Renal Failure—Quiz Case
Hao Wang, MD, PhD;
Philip Kirby, MD;
Roy M. Colven, MD
University of Washington (Drs Wang, Kirby, and Colven) and Harborview Medical Center (Drs Kirby and Colven), Seattle
Arch Dermatol. 2004;140:1393-1398.
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REPORT OF A CASE
A 49-year-old woman who was receiving hemodialysis for end-stage renal disease due to crescentic glomerulonephritis developed a pustular and pseudobullous eruption on her face. The eruption occurred 3 days after she underwent an intravenous contrast-enhanced radiographic evaluation of a thrombosed dialysis graft in her arm. The lesions were not pruritic or painful. The patient had received intravenous contrast media several times during previous radiologic procedures, without any complications. Her medical history was significant for diabetes mellitus, hypothyroidism, strokes, coronary artery disease, and congestive heart failure.
Physical examination revealed an afebrile woman who appeared moderately ill. She had marked edema involving her face and eyelids and multiple 0.5- to 2-cm pustular and pseudobullous plaques with erythematous and indurated bases on her cheeks, nose, orbits, and forehead (Figure 1). Cultures of the skin lesions were negative for bacteria and . . . [Full Text of this Article]
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Pustular Plaques on the Face of a Patient With Renal Failure—Diagnosis
Arch Dermatol. 2004;140(11):1393-1398.
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