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July 2012

A 32-Year-Old Man With Grouped Papules and Vesicles—Quiz Case

Author Affiliations
 

SECTION EDITOR: MARY S. STONE, MD; ASSISTANT SECTION EDITORS: SOON BAHRAMI, MD; CARRIE ANN R. CUSACK, MD; SENAIT W. DYSON, MD; MOLLY A. HINSHAW, MD; ARNI K. KRISTJANSSON, MD

Arch Dermatol. 2012;148(7):849. doi:10.1001/archderm.148.7.849-b
Report of a case

A 32-year-old man was admitted to our institution with prolonged fever, bilateral episcleritis, hearing loss, fatigue, and weight loss. A chest radiogram showed pulmonary infiltrates that were interpreted as bacterial pneumonia but did not improve with antibiotics. Initial blood test investigations revealed elevated levels of C-reactive protein (13.59 mg/dL; range, 0.01-0.9 mg/dL [to convert to nanomoles per liter, multiply by 9.524]) with a white blood cell count of 16 700 cells/μL (range, 4000-11 000 cells/μL) with 79% of neutrophils.

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