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Dermacase

Answer on page 660

Can you identify this condition?

Jeng-Feng Chen

MD

Chien-Ping Chiang

MD

A

29-year-old man presented with abrupt onset of gen- eralized painful, burning skin eruptions that occurred 6 hours after taking ibuprofen for his sore throat. The physical examination revealed numerous discrete, vari- ably sized, well-demarcated, round-to-oval, dusky red patches with a few overlying blisters and erosions on his trunk, proximal extremities, lip, and foreskin. He reported having a similar skin rash several years ago after he took over-the-counter cold medication. His family history was unremarkable.

The most likely diagnosis is

1. Stevens-Johnson syndrome 2. Erythema multiforme 3. Urticaria

4. Pemphigus vulgaris

5. Generalized fixed drug eruption

Vol 58: June • Juin 2012

|

Canadian Family Physician•Le Médecin de famille canadien

659

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Vol 56: july • juillet 2010 Canadian Family Physician • Le Médecin de famille canadien