Global Dermatology Grand Rounds:
Case of the Month: February 1995
submitted by Dr. Yoshiki Taniguchi

September 1996			August 1996
June 1996	May 1996	April 1996	July 1995
June 1995	May 1995	February 1995	January 1995

CASE HISTORY: Past medical history is non-contributory.
MEDICATIONS: The patient was on no medications at the time including previous consumption of NSAID's in the week preceding the incident.

PHYSICAL EXAMINATION	Click on the image for magnification:
There were many finger-sized erythematous macules over his entire body with enlarged lymph nodes on the neck.

LABORATORY INVESTIGATIONS: Blood cell counts were within their normal range, but liver function tests showed abnormal elevations of GPT (96U/ml) and gamma GTP (181U/ml).

Histopathology: The biopsy specimen from the trunk showed slight edema in the lower layer of the epidermis and dermis, and marked cellular infiltration including lymphocytes, neutrophils, and histiocytes in the dermis, especially around small vessels.

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Global Dermatology Grand Rounds
Rhett J. Drugge, M.D., Founding Editor
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