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Manisha Thakuria, MD; Smita Agarwal, MD; Oscar E. Saffold, MD; Christine Jaworsky, MD
Case Western Reserve University School of Medicine, Cleveland, Ohio

Arch Dermatol. 2007;143(2):255-260.

	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 51-year-old African American man presented with a 2-month history of a painful, nonpruritic, worsening cutaneous eruption that had started on his lower extremities and had spread over his entire body. The patient, whose medical history was otherwise unremarkable, denied systemic symptoms and had not taken any medications before the onset of the eruption. His condition initially improved on a regimen of high-dose oral steroids (prednisone, 60 mg/d) but flared when the dosage was tapered.

Physical examination revealed crusted erosions, flaccid bullae with pus, well-circumscribed shallow ulcers, and dusky, erythematous circinate plaques on the scalp, face, trunk, and extremities (Figure 1). A complete blood cell count revealed an elevated white blood cell count (24.1x10³/µL [reference range, 4.5-11.0 x 10³/µL]) with 89% segmented neutrophils (reference range, 31%-76%), 4% band cells, and 1% . . . [Full Text of this Article]

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Fulminant Cutaneous Eruption in a 51-Year-Old Man—Diagnosis
Arch Dermatol. 2007;143(2):255-260.
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