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A 71-year-old man was admitted to the hospital because of a rash, diffuse muscle weakness, and respiratory failure.
There was a long history of insulin-dependent diabetes mellitus and alcoholism. The patient had been in stable health until two or three months before entry, when a diffuse maculopapular erythematous rash developed. It improved with prednisone therapy but flared when the dose was tapered, with the onset of difficulty in walking and arising from a chair. Twenty-six days before admission he experienced sudden right flank pain and was admitted to another hospital.
On physical examination a diffuse erythematous scaling rash was present;
Differential Diagnosis
Clinical Diagnosis
Dr. Allan H. Ropper's Diagnosis
Pathological Discussion
Anatomical Diagnosis
Addendum
References
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