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April 2010

Bullae, Scaly Papules, and Plaques—Quiz Case

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Arch Dermatol. 2010;146(4):439-444. doi:10.1001/archdermatol.2010.37-a

A 59-year-old African American woman with a history of hypertension and diabetes mellitus was referred to the dermatology department for treatment of a pruritic skin condition of 1 week's duration that began on her hands and spread to involve the arms, trunk, and lower extremities. She later developed blisters on the soles of her feet and had difficulty walking because of the pain. Her medications included pioglitazone hydrochloride, hydrochlorothiazide, sucralfate, lisinopril, and hydrocodone with acetaminophen.

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