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Previous Volume 353:1275-1284 September 22, 2005 Number 12 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 68-year-old man was admitted to the hospital because of a rash and muscle weakness.

He had been well until two weeks earlier, when, shortly after returning from a trip to coastal South Carolina, a pruritic rash, which the patient attributed to sunburn, had appeared over his right upper arm, scalp, and upper chest. One week before admission, after he had been working underneath his porch, periorbital swelling, which he suspected was caused by an insect bite or contact with poison ivy, had developed. His primary care physician prescribed fexofenadine and ranitidine, but the patient's symptoms did not improve. Two . . . [Full Text of this Article]

Differential Diagnosis

Dr. Jonathan Crocker and Dr. Richard P. Polisson's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Source Information

From the Arthritis Unit (R.P.P.) and the Departments of Medicine (J.T.C.), Radiology (P.R.M.), and Pathology (N.L.H., L.M.D.), Massachusetts General Hospital; and the Departments of Medicine (R.P.P., J.T.C.), Radiology (P.R.M.), and Pathology (N.L.H., L.M.D.), Harvard Medical School.

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