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A 23-year-old woman presented to the emergency department with a 3-day history of a painful, erythematous, blistering rash across her sun-exposed skin. Before the onset of the rash, the patient had spent 2 days at the beach, where she had prepared mojitos (a cocktail of rum, mint, sugar, water, and limes). During the subsequent 24 hours, a burning erythema developed and later blistered. Physical examination revealed tender skin (Panel A) with vesicles (arrow) and tense bullae (arrowhead) atop erythematous, edematous plaques on her dorsal hands, forearms, and chest. Symmetric, discrete, erythematous patches studded with tiny vesicles were found on her . . . [Full Text of this Article] |