Print Email
 

Clinical Images

Skin Lesions with Rhabdomyolysis


A 59-year-old African-American male with a past medical history of hypertension, hepatitis C presented to the emergency department in an unresponsive state. He was a known alcohol abuser and had a 30-pack-year smoking history. His medications included hydrochlorothiazide, amlodipine, and clonidine. He was found to have periorbital edema, numerous erythematous maculopapular and vesicular lesions on the eyelids, forehead, both upper extremities, and over the chest and upper abdomen, diffuse wheezing throughout lung fields and lip swelling. A diagnosis of acute renal failure secondary to rhabdomyolysis was made. A punch biopsy of the skin lesion revealed localized area of epidermal necrosis with subepidermal blister, underlying dermal necrosis, and patchy acute inflammatory changes.

This case is based on this article by Koya, Crenshaw and Agarwal in JGIM 2007.



 

Submit content to JGIM

JGIM encourages submission of articles aimed at improving patient care, education, and research in primary care and general internal medicine in all settings. Submissions must be original and not currently under consideration for publication in another peer- reviewed medium (paper or electronic).

Learn How to Submit Here

 

FEATURED ARTICLE

 

Darlyn Victor, MD, Paul Moots, MD and Jacqueline Fischer, MD

October 13, 2016

A 39-year-old African-A....

Read Article
 

Most Viewed Articles

73 Views

The Role of Community-Based Participatory Research to Inform Local Health Policy: A Case Study.

O’Brien, Matthew J.; Whitaker, Robert C.

Read Article| Download PDF
25 Views

The Role of Community-Based Participatory Research to Inform Local Health Policy: A Case Study.

O’Brien, Matthew J.; Whitaker, Robert C.

Read Article| Download PDF
31 Views

The Role of Community-Based Participatory Research to Inform Local Health Policy: A Case Study.

O’Brien, Matthew J.; Whitaker, Robert C.

Read Article| Download PDF

Most Recent Web Only Content

November

13

Hypertriglyceridemia-induced Acute Pancreatitis

Faryal Nadeem, MD; Syed Shabbir, MD

Read Article

October

30

The Patient’s Wife

Teresa Lee, MD, PhD

Read Article

August

25

Diagnostic Schema

Denise M. Connor, Rabih Geha, Mark Henderson, Jeff Kohlwes

Read Article

April

26

A Prescription for Kindness

Bui, Simonetti, Benson, Malek and Anderson

Read Article