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A 79-Year-Old Woman with a Blistering Cutaneous Eruption
Oleh:
Avram, Mathew M.
;
Mai, Hoang
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
The New England Journal of Medicine (keterangan: ada di Proquest) vol. 360 no. 26 (Jun. 2009)
,
page 2771-2777.
Topik:
Blistering Cutaneous Eruption
Ketersediaan
Perpustakaan FK
Nomor Panggil:
N08.K.2009.03
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Isi artikel
Five days before admission, itching on her head and back and skin lesions on her abdomen developed. She saw her primary care provider at another facility. She had had polymyalgia rheumatica, giant-cell arteritis, and rheumatoid arthritis for many years, treated with prednisone. Hydroxychloroquine had been started approximately 2 weeks earlier. The hydroxychloroquine was stopped and loratadine was administered; prednisone was continued. The rash did not improve and gradually spread to her back, arms, and legs. Three days after the onset of symptoms, she was seen in the emergency department of another hospital. The prednisone was increased from 5 to 40 mg daily, and she was sent home. The rash increased in severity and became painful, sore throat with dysphagia developed, and the temperature rose to 38.8°C. She returned to the emergency room the next day.
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