May 2009

Fig.1

Fig.2

Fig.3

History:

53 year old male patient presented with a diffuse, itchy vesicular rash on trunk (Fig.1) and extremities (Fig.2), initially thought to be related to an occupational exposure. The rash improved initially with clobetasol ointment but the patient continued to develop new tense bullae that ruptured leaving painful erosions (Fig.3).

Past medical history: hypertension, cardiac stent

Mediations: none

Family history: non-contributory

Social history: + tobacco, industrial chemical exposures

Physical exam:

Patient has numerous erosions overlying confluent erythematous patches and plaques on the trunk and extremities.

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