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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 331:1362-1368 November 17, 1994 Number 20
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Case 41-1994— A 57-Year-Old Man with Chronic Active Hepatitis, a Rapidly Progressive Bullous Eruption, and Shock
H. Shaw Warren, and Elizabeth M. Bailey

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Presentation of Case

A 57-year-old man was admitted to the hospital because of evidence of gram-negative bacteremia, with peripheral edema and erythema of the leg with bullae.

The patient had been well until six weeks earlier, when edema of the lower extremities developed. Evaluation at another hospital showed ascites in addition to peripheral edema. Serologic studies revealed evidence of chronic hepatitis due to the hepatitis B virus, and a liver biopsy disclosed chronic active hepatitis with postnecrotic cirrhosis. The patient's condition remained stable until six days before admission, when malaise began and the peripheral edema increased, especially in the left leg. Two days . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. H. Shaw Warren's Diagnosis

Pathological Discussion

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References




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