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A 16-year-old girl was admitted to the hospital because of fever, rash, and severe ocular disease.
The patient had been in good health until three months earlier, when small, painful, mildly pruritic vesicles appeared on her left thigh. She was given oral and topical medications, and the rash disappeared within a few days, leaving hyperpigmented scars. Thereafter, she had intermittent fever, fatigue, and anorexia, with a weight loss of 14 kg.
Two weeks before admission, the patient's left ear began to drain. Several days before admission, painful intraoral lesions appeared. One day before admission, clarithromycin was prescribed for recurrent drainage
Differential Diagnosis
Clinical Diagnosis
Dr. Jane G. Schaller's Diagnoses
Pathological Discussion
Anatomical Diagnosis
References
Related Letters:
Classification of Vasculitis
Piette J.-C., Fieschi C., Amoura Z., Schaller J. G.
Extract |
Full Text
N Engl J Med 1999;
341:1774-1775, Dec 2, 1999.
Correspondence
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