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A previously healthy 56-year-old woman had spontaneous eruption of a lacy, net-like erythema of her entire skin, which was especially pronounced on her arms and legs (Panel A). The erythema of her lower arms disappeared within 2 minutes after immersion into a water bath at exactly 37°C. Her blood clumped immediately after being drawn and placed in a Petri dish (Panel B). Microscopical examination showed large red-cell agglutinates (Panel C). Results on electrocardiography, echocardiography, radiography, and skin biopsy (Panel A, arrow) were normal, as were the differential blood count and kidney function. There was no evidence of vasculitis or the . . . [Full Text of this Article] |
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