History of Present Illness: A patient in their mid-70’s with a history of CAN, DM, HTN, presents to the ER with a rash for 2 months starting on his scalp on Dupixent with biopsy 1 week ago but no new med and worsening rash since yesterday with chills and shaking. Peeling a bit for a few days and burning today.
Vital Signs & Physical Exam: Vital signs are normal. Lungs are clear. Rash involves palms and soles but not eyes or mouth/throat
Initial Diagnostic Testing:
- CBC: normal
- Chem-7: normal
- Other: ESR = 30 , CRP = 1.5
What is the most likely diagnosis?
- A) AGEP
- B) DRESS
- C) TEN
- D) Erythroderma
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CASE CONCLUSION: Transferred to tertiary care center with Derm and Burn unit.