Man With Persistent Rash

Clinical case of the month. A 50-year-old man with a persistent rash.

In September 2006, the United States Centers for Disease Control and Prevention (CDC) published updated recommendations for routine opt-out human immunodeficiency virus (HIV) testing in all healthcare settings. As late diagnosis of infection increases individual and societal risks, a goal of the 2010 National HIV/AIDS Strategy is to increase the percentage of those aware of their infection. In ...

A persistent facial rash.

A 46-year-old woman presented with a facial rash that had worsened over nine months. She had been treated with several topical corticosteroids and topical antibiotics, which improved her symptoms only temporarily. She was taking no other medications. There were no specific triggers or contacts, and she had no significant medical history. Examination revealed annular plaques with a raised erythe...

A 33-Year-Old Man with a Facial Rash

121 A 33-y-old man presented to his primary care practitioner with a rash beginning around the left ear and spreading into the periorbital region. He was known to have eczema (atopic dermatitis), and the diagnosis of secondary bacterial infection and periorbital cellulitis was made. Because of a history of penicillin allergy, the patient was started on erythromycin. This treatment had no effect...

Persistent rash on the face and lips.

A young man with persistent eosinophilia.

The most relevant laboratory findings are shown in Table 1. White-cell count was 56 400μ/l with an eosinophil count of 4.850 μ/l. Renal and liver function study was normal. Serum level of lactate dehydrogenase was above the normal range (550 U/l), blood sedimentation was not increased and C-reactive protein value was also in the normal range. The patient could not recall any allergic reaction a...