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Periodic Fever With Atypical Dyshidrosis—Quiz Case

Periodic Fever With Atypical Dyshidrosis—Quiz Case Report of a case A 50-year-old woman with hypertension and chronic renal insufficiency presented with a 6-year history of recurrent episodes of dull, cramping abdominal pain accompanied by intermittent fever and a tender vesicular eruption localized to her palms and soles. Her signs and symptoms recurred approximately every 4 weeks. She also noted a 9-kg weight loss. She was referred to our institution with a presumptive diagnosis of familial Mediterranean fever. Physical examination revealed a cachectic woman with tender erythematous to violaceous multilocular vesicles with a tendency to a polycyclic configuration in a palmoplantar distribution (Figure 1). Also, there were discrete 3-mm purpuric lesions over the left ankle and the dorsal surface of the left foot. A punch biopsy was performed (Figure 2 and Figure 3). Figure 1. View LargeDownload Figure 2. View LargeDownload Figure 3. View LargeDownload What is your diagnosis? http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Periodic Fever With Atypical Dyshidrosis—Quiz Case

Abstract

Report of a case A 50-year-old woman with hypertension and chronic renal insufficiency presented with a 6-year history of recurrent episodes of dull, cramping abdominal pain accompanied by intermittent fever and a tender vesicular eruption localized to her palms and soles. Her signs and symptoms recurred approximately every 4 weeks. She also noted a 9-kg weight loss. She was referred to our institution with a presumptive diagnosis of familial Mediterranean fever. Physical examination revealed...
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Publisher
American Medical Association
Copyright
Copyright © 2004 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.140.4.479-a
Publisher site
See Article on Publisher Site

Abstract

Report of a case A 50-year-old woman with hypertension and chronic renal insufficiency presented with a 6-year history of recurrent episodes of dull, cramping abdominal pain accompanied by intermittent fever and a tender vesicular eruption localized to her palms and soles. Her signs and symptoms recurred approximately every 4 weeks. She also noted a 9-kg weight loss. She was referred to our institution with a presumptive diagnosis of familial Mediterranean fever. Physical examination revealed a cachectic woman with tender erythematous to violaceous multilocular vesicles with a tendency to a polycyclic configuration in a palmoplantar distribution (Figure 1). Also, there were discrete 3-mm purpuric lesions over the left ankle and the dorsal surface of the left foot. A punch biopsy was performed (Figure 2 and Figure 3). Figure 1. View LargeDownload Figure 2. View LargeDownload Figure 3. View LargeDownload What is your diagnosis?

Journal

Archives of DermatologyAmerican Medical Association

Published: Apr 1, 2004

Keywords: familial mediterranean fever,eczema, dyshidrotic

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