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Images in dermatology| Volume 121, ISSUE 3, P193-195, March 2008
New Rash, Old Foe
Rahul Gupta, MD, MPH, FACP
Rahul Gupta
Requests for reprints should be addressed to Rahul Gupta, MD, MPH, FACP, Division of Internal Medicine, Meharry Medical College, 1005 Dr. D. B. Todd Jr. Blvd, Nashville, TN 37208.
Department of Internal Medicine, Meharry Medical College
Ivan Pivovarov, MD
Ivan Pivovarov
Division of Family Medicine, University of Alabama Birmingham School of Medicine
Dara N. Wakefield, MD
Dara N. Wakefield
Division of Pathology, University of Alabama Birmingham School of Medicine
Seema Gupta, MD
Seema Gupta
Department of Family and Community Medicine, Meharry Medical College.
DOI:https://doi.org/10.1016/j.amjmed.2007.11.007
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Sometimes, the sudden onset of a rash calls for a skin biopsy. Here, a 37-year-old African American man presented to the emergency department with the complaint of an itchy, generalized rash (Figure 1A,1B) that had come on suddenly the previous day. He also reported that sore throat, fever, and chills had begun 2 days prior to presentation, and he denied cough, headache, nausea, vomiting, or diarrhea. Although the patient was morbidly obese, he was otherwise healthy. He reported occasional use of ibuprofen for routine aches and pains over the past several years.
Figure 1(A) Diffuse, small (1-3 mm) pustular rash covered the patient's abdominal wall. (B) A similar rash covered all 4 extremities as well. The right forearm is shown.