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Ongoing Pleuritic Chest Pain and a Guinea Pig: Missed Pulmonary Embolism and Majocchi’s Granuloma

A 27-year-old woman presented for a second opinion with chest pain, dyspnea, and a worsening rash with new pustules. Three weeks before presentation she developed a small rash on her anterior right lower abdomen. After treatment with topical hydrocortisone and mupirocin, oral valganciclovir and clindamycin, the rash increased in size, developed central clearance, and became warm […]

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Rare but Revealing

A Rare but Revealing Sign: Necrolytic Migratory Erythema Rash can signal any number of disorders, from the relatively minor to the life-threatening. For a 62-year-old woman, an unrelenting skin complaint proved to be evidence of an unusual disease. She presented with a 2.5-year history of an intermittent pruritic rash in her underarms and gluteal cleft […]

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Web of Confusion

The occurrence of a late-stage complication in a patient with early disease, reminds us that any illness can take an unpredictable course. A 63-year-old man presented with complaints of fatigue and rash. He had been in his usual state of health until approximately 2 months prior, when he developed decreased visual acuity in his right […]

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