A painful periumbilical 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...

Periumbilical perforating pseudoxanthoma elasticum.

A 58-year-old, gravida 6, obese woman presented with a pruritic yellowish plaque around the umbilicus, which first appeared about 3 years ago. She also had flat yellow papules on the axilla and neck. After a burn from a heating device, a few perforating papules and a violaceous hue occurred on the plaque. Histological examination revealed pathological elastic fibers with a keratotic plug and pe...