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Case Records of the Massachusetts General Hospital

Case 14-2012 — A 43-Year-Old Woman with Fever and a Generalized Rash

List of authors.
  • Bonnie T. Mackool, M.D., M.S.P.H.,
  • Jeremy Goverman, M.D.,
  • and Rosalynn M. Nazarian, M.D.

A 43-year-old woman with a history of atopic dermatitis was admitted to the hospital because of fever and a generalized painful, pruritic rash involving the entire body. Examination revealed vesicles, pustules, and erosions with scalloped borders. A diagnostic test result was received.

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Funding and Disclosures

Presented at Dermatology Grand Rounds.

Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.

No potential conflict of interest relevant to this article was reported.

We thank Dr. David L. Hudacek (Internal Medicine) and Drs. Harry Ma and Shawn Fagan (Burn Surgery) for assistance with the preparation of the case history.

Author Affiliations

From the Department of Dermatology (B.T.M.); the Division of Burns, Department of Surgery (J.G.); and the Department of Pathology (R.M.N.), Massachusetts General Hospital; and the Departments of Dermatology (B.T.M.), Surgery (J.G.), and Pathology (R.M.N.), Harvard Medical School — both in Boston.

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