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Erythematous Plaques With Fever and LeukocytosisQuiz Case
Elizabeth Guevara-Gutiérrez, MD;
Alberto Tlacuilo-Parra, MD, MSc;
Elia Uribe-Jiménez, MD
Instituto Dermatológico de Jalisco, Secretaria de Salud Jalisco, Guadalajara, México (Dr Guevara-Gutiérrez); Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara (Dr Tlacuilo-Parra); and Hospital General de Occidente, Secretaria de Salud Jalisco, Zapopan, México (Dr Uribe-Jiménez)
Arch Dermatol. 2005;141:263-268.
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REPORT OF A CASE
A 36-year-old man presented with a 7-day history of fever, general malaise, chills, and rash. He was taking no medications. His temperature was 39°C. He had conjunctivitis and multiple, tender, raised, well-demarcated, erythematous, 2- to 15-cm plaques on his forehead and neck and the upper part of his trunk and arms (Figure 1 and Figure 2). Some plaques had central clearing and peripheral elevation. The findings of the patients physical examination were otherwise unremarkable. A complete blood cell count showed a white blood cell count of 12.1x103/µL (reference range [RR], 5.0-10.0x103/µL), with 75% segmented neutrophils (RR, 40%-60%), and a hemoglobin level of 11.2 g/dL (RR, 14.0-16.0 g/dL). The C-reactive protein level was elevated, and the Westergren erythrocyte sedimentation rate was 40 mm/h (RR, 118 mm/h). A skin biopsy specimen was obtained from . . . [Full Text of this Article]
RELATED ARTICLE
Erythematous Plaques With Fever and LeukocytosisDiagnosis
Arch Dermatol. 2005;141(2):263-268.
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