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Dermatology clinic

A rapidly progressing, blistering eruption in a febrile patient

ASHOD KHERLOPIAN, Gayle Fischer
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Abstract

Test your diagnostic skills in our regular dermatology quiz. What is the cause of this painful, widespread skin eruption?

Article Extract

Case presentation

A 32-year-old primary school teacher presents to the accident and emergency department with fever associated with a painful and itchy blistering eruption. The lesions involve her trunk, arms, legs, face and scalp (Figure). The illness started with a generalised maculopapular eruption three days ago and progressed rapidly, with lesions cropping every few hours. She feels fatigued and mildly nauseated but is not significantly unwell.

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