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Generalized Maculopapules With Fever and Cervical LymphadenopathyQuiz Case
Hae-Woong Lee, MD;
Woo-Jin Yun, MD;
Sung-Eun Chang, MD;
Jee-Ho Choi, MD;
Kee-Chan Moon, MD;
Jai-Kyoung Koh, MD
Asan Medical Center, College of Medicine, University of Ulsan, Seoul, South Korea
Arch Dermatol. 2006;142:641-646.
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REPORT OF A CASE
A 32-year-old Korean woman presented with a 3-week history of generalized maculopapules, fever, malaise, and cervical lymph node enlargement. She had been treated with antibiotics and antipyretics at local clinics. However, she had progressively worsening cutaneous lesions and cervical lymphadenopathy, along with intermittent fever.
Physical examination revealed several rubbery, palpable, nontender lymph nodes on the right side of the neck and a temperature of 38.2°C. Cutaneous examination showed erythematous to brown confluent macules and papules over the neck, trunk, and extremities (Figure 1). Laboratory tests showed elevated levels of C-reactive protein (3.38 mg/dL; reference range, 0-0.6 mg/dL) and lactate dehydrogenase (645 IU/L; reference range, 120-250 IU/L). IgG antibody for Epstein-Barr virus (EBV) viral capsid antigen was positive on enzyme immunoassay (optical density ratio, 4.5; reference value, <1), as was EBV-determined . . . [Full Text of this Article]
RELATED ARTICLE
Generalized Maculopapules With Fever and Cervical LymphadenopathyDiagnosis
Arch Dermatol. 2006;142(5):641-646.
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