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December 1986

Widespread Eruption in a Patient From Haiti

Author Affiliations

Department of Dermatology, Massachusetts General Hospital, Boston

Arch Dermatol. 1986;122(12):1439-1440. doi:10.1001/archderm.1986.01660240103028

REPORT OF A CASE  The patient, a 25-year-old man, came to the United States from Haiti three years prior to being seen in the emergency room of the Massachusetts General Hospital, Boston, because of a gradual onset of dysesthesia on the ulnar surface of the left hand and forearm. Results of tests performed on blood drawn in the emergency room were notable for an elevated sedimentation rate, and the values obtained from liver function tests were minimally elevated. The patient was thought to have an ulnar neuropathy of unknown origin, and indomethacin therapy (Indocin, 25 mg three times a day) was started. He was unavailable for follow-up until one year later, when he was referred to the dermatology clinic for evaluation of a widespread eruption of papules and nodules. These were flesh colored and distributed over the palms and soles, forearms, legs, insteps, and ankles. There was also a plaquelike