June 2001


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 HISTORY: The patient is a 51 year old Caucasian female with the sudden development of clusters of pus-filled bumps which coalesce into large blisters. The lesions were associated with a burning sensation and occasional itching. Review of systems was negative for fevers, chills, weight loss, and arthralgias. The patient was on no medications, and past medical history was significant for adult onset diabetes melitus controlled by diet and for a total abdominal hysterectomy and bilateral salpingo-oophorectomy.

 

Physical Exam revealed large confluent erythernatous patches with overlying crusted pustules covering 80% of the body surface area. In some areas, the pustules had a serpiginous configuration (Figs. 1-2). The face and hands were spared. Routine bloodwork, including CBC and chemistries, were within normal limits.


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