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Previous Volume 348:630-637 February 13, 2003 Number 7 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 16-year-old girl was admitted to the hospital because of pleuritic chest pain.

Bilateral imbrication of the hip capsules had been performed 15 months earlier at this hospital because of recurrent bouts of hip dislocation. Evaluation at that time showed a positive test for antinuclear antibodies, at a titer of 1:2560 with a homogeneous pattern; tests for anti-Ro and anti-La antibodies were negative, and a test for anti–double-stranded DNA antibodies was also negative, at 1:10. The postoperative course was complicated by a burning, pruritic, erythematous rash that was believed to be erythema multiforme and was ascribed to cefazolin; the rash . . . [Full Text of this Article]

Differential Diagnosis

Pleuritic Chest Pain and Lower Back Pain

Cutaneous Changes

            Erythema Multiforme

            Subacute Cutaneous Lupus Erythematosus

            Urticarial Vasculitis

Laboratory Findings

Hematochezia

Conclusions

Clinical Diagnosis

Dr. Ivor Caro's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Source Information

From the Dermatology Clinical Investigations Unit, Department of Dermatology (I.C.), and the Dermatopathology Unit, Department of Pathology (A.Z.), Massachusetts General Hospital; and the Departments of Dermatology and Pathology, Harvard Medical School (I.C., A.Z.) — both in Boston.

Related Letters:

Case 5-2003: A 16-Year-Old Girl with a Rash and Chest Pain
Schur P. H., Rothermel H.
Extract | Full Text | PDF  
N Engl J Med 2004; 350:520-521, Jan 29, 2004. Correspondence

This article has been cited by other articles:

• Schur, P. H., Rothermel, H. (2004). Case 5-2003: A 16-Year-Old Girl with a Rash and Chest Pain. NEJM 350: 520-521 [Full Text]