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A 22-year-old woman with a history of a seizure disorder presented to the emergency department after having a rash for three days and a fever for one day. The rash began as a maculopapular distribution on the neck and chest and rapidly progressed to target lesions and bullae (Panels A and B) that involved all surfaces of the integument and spared only the scalp. The patient had fevers as high as 40.5°C and painful erosions of the mucosa of the conjunctiva, mouth, and vagina. Since approximately 10 percent of her body surface was involved, a diagnosis of StevensJohnson syndrome was . . . [Full Text of this Article] |