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A 33-year-old man was admitted to the hospital because of leg numbness and back pain.
The patient had been well until six weeks before admission, when pruritus developed on his upper abdomen, accompanied by burning pain when he assumed a recumbent position. An erythematous rash without vesicles or scarring spread across both sides of his upper abdomen to the midaxillary lines and was interpreted by a physician as herpes zoster. Within two weeks, the rash cleared spontaneously. Four days before admission, numbness developed in both legs and ascended to the lumbar region and then to the abdomen and interscapular region.
Differential Diagnosis
Pulmonary Disease
Spinal Cord Disease
Possible Role of HIV Infection
Possible Role of a Monoclonal B-Cell Disorder
Rash
Clinical Diagnoses
Dr. C. Fordham von Reyn's Diagnoses
Pathological Discussion
Anatomical Diagnoses
References
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