A Painful, Blistering Rash

A Painful, Blistering Rash

Supervising Section Editor: Sean O. Henderson, MD Submission history: Submitted July 1, 2013; Accepted July 15, 2013 Electronically published October 9, 2013 Full text available through open access at http://escholarship.org/uc/uciem_westjem DOI: 10.5811/westjem.2013.7.18845 [West J Emerg Med. 2013;14(6):645.] David Geffen School of Medicine, University of California Los Angeles, Department of ...

Photophobia and a painful rash.

A 62 year old woman presented to eye casualty with a 10 day history of a left sided headache. Two days after her headache started she developed a painful and pruritic left sided rash. During the 24 hours before presentation, her left eye had become injected, painful, and photophobic. On examination she had a well demarcated, unilateral area of erythematous andmildly oedematous skin, which exten...

A diffuse painful desquamating rash.

Painful eye with a facial rash.

A 75-year-old man presents 4 days after painful cutaneous lesions appeared on the left side of his face, associated with severe ocular pain. Two days before the eruption, he had had an intense headache, which was diagnosed as a tension headache and was treated with oral acetaminophen (Tylenol), but with no improvement. He has a history of hypertension and hyperuricemia. No recent changes have b...

A painful skin rash in a patient with Stage V chronic kidney disease

A 74-year-old Caucasian woman presented with deteriorating renal function. She had a 13-year history of noninsulin-dependent diabetes and had just started insulin due to a rising HbA1C. She also had a 2-year history of hypertension and a remote history of duodenal ulceration. Her creatinine at presentation was 285 lmol/L and her estimated glomerular filtration rate (eGFR) was 14 mL/min. Her blo...