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Herpes Zoster Ophthalmicus: A Review for the Internist

Herpes zoster ophthalmicus occurs due to reactivation of the varicella zoster virus in the ophthalmic branch of the fifth cranial nerve. This disease primarily affects the elderly as well as the immunocompromised and can result in a wide range of ophthalmic morbidity. Systemic antiviral therapy is the mainstay of treatment; however, consultation with an ophthalmologist […]

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Rash and Fever: Clues to an Elusive Hematologic Malignancy

In a previously healthy older adult, a generalized rash gave way to an elusive diagnosis. Six weeks before the present hospitalization and after a period of sun exposure, this 65-year-old woman developed a pruritic rash on her arms, legs, and trunk that spared her face, palms, and soles. Shortly thereafter, the rash was followed by […]

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People Were Staring…

Sometimes, a patient minimizes the symptoms of his or her illness, while at other times a condition can be glaringly evident and frankly observable to all. Both of these seemingly opposite situations occurred simultaneously in this case of a rare skin condition. A 27-year-old man with a medical history of atopic dermatitis presented with a […]

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