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Juan Herrada, MD; Deborah K. Phillips, MD; Adelaide A. Hebert, MD; Fernando Cabanillas, MD; Robert E. Jordon, MD

Arch Dermatol. 1997;133(1):97-98.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

REPORT OF A CASE

A previously healthy 63-year-old white man presented to his local physician in December 1992 with an acute influenzalike illness. Within 1 week of beginning cephalexin therapy, he developed a pruritic rash on his back and painful oral mucosal erosions. A computed tomographic scan was ordered when he abruptly became jaundiced. Severe intrahepatic and extrahepatic biliary obstruction was noted, along with an abdominal mass, splenomegaly, and significant retroperitoneal and inguinal adenopathy.

The patient was subsequently referred to the lymphoma service at the University of Texas M. D. Anderson Cancer Center, Houston, and presented January 4, 1993, with complaints of weakness, early satiety, weight loss, and a progressive blistering eruption.

On physical examination, he was noted to be an ill-appearing, jaundiced man with extensive oral erosions and crusting of the lips. Numerous flaccid vesicles were observed on his trunk and thighs. Large, well-defined confluent erosions were present . . . [Full Text PDF of this Article]

Author Affiliations
University of Texas M. D. Anderson Cancer Center, Houston (Drs Herrada and Cabanillas), and the University of Texas Health Sciences Center at Houston (Drs Phillips, Hebert, and Jordon)

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