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Widespread Eruption in a Patient From Haiti

Widespread Eruption in a Patient From Haiti Abstract REPORT OF A CASE The patient, a 25-year-old man, came to the United States from Haiti three years prior to being seen in the emergency room of the Massachusetts General Hospital, Boston, because of a gradual onset of dysesthesia on the ulnar surface of the left hand and forearm. Results of tests performed on blood drawn in the emergency room were notable for an elevated sedimentation rate, and the values obtained from liver function tests were minimally elevated. The patient was thought to have an ulnar neuropathy of unknown origin, and indomethacin therapy (Indocin, 25 mg three times a day) was started. He was unavailable for follow-up until one year later, when he was referred to the dermatology clinic for evaluation of a widespread eruption of papules and nodules. These were flesh colored and distributed over the palms and soles, forearms, legs, insteps, and ankles. There was also a plaquelike References 1. Moschella SL: Diseases of the mononuclear phagocytic system , in Moschella SL, Hurley HJ (eds): Dermatology , ed 2. Philadelphia, WB Saunders Co, 1985, vol 1, chap 16. 2. Rea TH, Levan NE: Erythema nodosum in a genera hospital . Arch Dermatol 1975;111:1575-1580.Crossref 3. Bjune G: Reactions in leprosy . Lepr Rev (special issue) (June) 1983, pp 61-67. 4. Jolliffe DS: Leprosy reactional states and their treat ment . Br J Dermatol 1977;97:345-351.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Widespread Eruption in a Patient From Haiti

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References (5)

Publisher
American Medical Association
Copyright
Copyright © 1986 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1986.01660240103028
Publisher site
See Article on Publisher Site

Abstract

Abstract REPORT OF A CASE The patient, a 25-year-old man, came to the United States from Haiti three years prior to being seen in the emergency room of the Massachusetts General Hospital, Boston, because of a gradual onset of dysesthesia on the ulnar surface of the left hand and forearm. Results of tests performed on blood drawn in the emergency room were notable for an elevated sedimentation rate, and the values obtained from liver function tests were minimally elevated. The patient was thought to have an ulnar neuropathy of unknown origin, and indomethacin therapy (Indocin, 25 mg three times a day) was started. He was unavailable for follow-up until one year later, when he was referred to the dermatology clinic for evaluation of a widespread eruption of papules and nodules. These were flesh colored and distributed over the palms and soles, forearms, legs, insteps, and ankles. There was also a plaquelike References 1. Moschella SL: Diseases of the mononuclear phagocytic system , in Moschella SL, Hurley HJ (eds): Dermatology , ed 2. Philadelphia, WB Saunders Co, 1985, vol 1, chap 16. 2. Rea TH, Levan NE: Erythema nodosum in a genera hospital . Arch Dermatol 1975;111:1575-1580.Crossref 3. Bjune G: Reactions in leprosy . Lepr Rev (special issue) (June) 1983, pp 61-67. 4. Jolliffe DS: Leprosy reactional states and their treat ment . Br J Dermatol 1977;97:345-351.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Dec 1, 1986

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