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Off-Center Fold
November 2004

Pustular Plaques on the Face of a Patient With Renal Failure—Quiz Case

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Copyright 2004 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2004

Arch Dermatol. 2004;140(11):1393-1398. doi:10.1001/archderm.140.11.1393-e

A 49-year-old woman who was receiving hemodialysis for end-stage renal disease due to crescentic glomerulonephritis developed a pustular and pseudobullous eruption on her face. The eruption occurred 3 days after she underwent an intravenous contrast-enhanced radiographic evaluation of a thrombosed dialysis graft in her arm. The lesions were not pruritic or painful. The patient had received intravenous contrast media several times during previous radiologic procedures, without any complications. Her medical history was significant for diabetes mellitus, hypothyroidism, strokes, coronary artery disease, and congestive heart failure.

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